Dr.Kanchan R Sainani, Dr.Rohit Shetty, Dr.Tushar Grover
Laser in situ keratomileusis has stood the test of time. Complication rates in both femtosecond and microkeratome LASIK are acceptably small (0.3%). Flap related complications occur more often with microkeratome than femtosecond LASIK. These include partial flaps, buttonholes, thin or irregular flaps and least common although most dreaded complication of free flaps (0.012%).
Our video highlights various microkeratome related flap complications and their management. An unusual case was referred to us after the patient’s free flap could not be retrieved. The patient presented with highly irregular corneal topography and epithelial thickness profile. We used topoguided customized ablation to treat this highly aberrated and irregular cornea. Favourable outcomes in terms of regularization of the topography and epithelial thickness, improvement in patient’s uncorrected visual acuity and quality of vision were achieved.
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