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Safety of Flap Lift Enhancements after IntraLase Lasik

Safety of Flap Lift Enhancements after IntraLase Lasik. Lewis R Groden, MD (1,2) Sunir Joshi, MD (1) 1 Department of Ophthalmology, University of South Florida, Tampa FL 2 LasikPlus Vision Center Tampa, FL The authors have no financial interests in this presentation. Financial Disclosure.

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Safety of Flap Lift Enhancements after IntraLase Lasik

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  1. Safety of Flap Lift Enhancements after IntraLase Lasik Lewis R Groden, MD(1,2) Sunir Joshi, MD(1) 1 Department of Ophthalmology,University of South Florida, Tampa FL 2 LasikPlus Vision Center Tampa, FL The authors have no financial interests in thispresentation

  2. Financial Disclosure • LRG: speaker list : Allergan Johnson&Johnson/Vistakon shareholder: LCAV (LasikPlus) • SJ: none • The authors have no financial interests in any of the material discussed in this presentation.

  3. Purpose: • To determine the safety of performing enhancements via flap lift after thin flap IntraLase lasik

  4. Methods • Retrospective chart review • 57 consecutive eyes of 44 IntraLase lasik patients who had undergone flap lift enhancements • Enhancements performed 4 - 13 months post lasik, mean 8 months • Follow-up post enhancement: 3 – 8 months

  5. Primary IntraLase settings • Flap depth: 100 microns (range 90-120) • Flap diameter: 8.5 mm (myopes) 9.0 mm (hyperopes) • Side cut angle: 90 degrees • Side cut energy: 1.00 • Bed energy: 0.90 • Spot sep: 9 • Line sep: 9

  6. Flap lift technique • At slit lamp, Sinskey hook to crack wound • Under laser microscope, Sinskey hook to unzip the wound up to hinge (12:00) • Slade cannula to gently sweep open the flap from hinge to 6:00 - gentle but firm downward pressure, do not pull upward on flap

  7. Technique: Precautions • Do not enter the pocket while unzipping the wound, may get a free cap. • Do not tug on flap, may get flap buttonhole/tear. Gently break adhesions with firm downward sweeping motions.

  8. Results • No intra-operative complications • No peri-operative complications • No post-operative complications

  9. Conclusions • Thin IntraLase flaps can be safely lifted in order to perform enhancement procedures

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