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2001•Journal of Cataract & Refractive SurgeryRequires access

Minimizing the risk of recutting with a Hansatome over an existing Automated Corneal Shaper flap for hyperopic laser in situ keratomileusis enhancement

Timothy N. Peters, Nader G Iskander, Howard V. Gimbel

Open publisher page 20 citations

Abstract

We report a case series of 4 eyes to discuss the intraoperative complications of recutting a laser in situ keratomileusis (LASIK) flap with a Hansatome microkeratome over an existing 160 microm Automated Corneal Shaper flap for the retreatment of hyperopia. In the eyes that were recut, slivers of stroma were apparent on reflection of the flap; the slivers were located centrally in the 180 microm eye and peripherally in the 160 microm eyes. Recutting a flap for LASIK retreatment runs the risk of visually significant stromal irregularities.

About this research paper

What this paper is about

We report a case series of 4 eyes to discuss the intraoperative complications of recutting a laser in situ keratomileusis (LASIK) flap with a Hansatome microkeratome over an existing 160 microm Automated Corneal Shaper flap for the retreatment of hyperopia. In the eyes that were recut, slivers of stroma were apparent on reflection of the flap; the slivers were located centrally in the 180 microm eye and peripherally in the 160 microm eyes. Recutting a flap for LASIK retreatment runs the risk of visually significant stromal irregularities.

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OpenAlex reports 20 citations for this work. Citation counts describe recorded attention and do not establish research quality.

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Available abstract

We report a case series of 4 eyes to discuss the intraoperative complications of recutting a laser in situ keratomileusis (LASIK) flap with a Hansatome microkeratome over an existing 160 microm Automated Corneal Shaper flap for the retreatment of hyperopia. In the eyes that were recut, slivers of stroma were apparent on reflection of the flap; the slivers were located centrally in the 180 microm eye and peripherally in the 160 microm eyes. Recutting a flap for LASIK retreatment runs the risk of visually significant stromal irregularities.

Key concepts: Microkeratome, Keratomileusis, LASIK, Ophthalmology, Medicine, In situ, Cornea, Optometry

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Minimizing the risk of recutting with a Hansatome over an existing Automated Corneal Shaper flap for hyperopic laser in situ keratomileusis enhancement — Research Paper | ScholarLens