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When Femto Flaps Go Bad: Outcomes of Femtosecond LASIK Flap Complications

When Femto Flaps Go Bad: Outcomes of Femtosecond LASIK Flap Complications. Vasudha Panday, MD 1 , Niraj Desai, MD 2 , Sanford Roberts, MD 1 , Robert Lyons, MD 1 , Charles Reilly, MD 1 The authors have no financial interest to disclose. Wilford Hall Medical Center 1

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When Femto Flaps Go Bad: Outcomes of Femtosecond LASIK Flap Complications

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  1. When Femto Flaps Go Bad:Outcomes of Femtosecond LASIK Flap Complications Vasudha Panday, MD1 ,Niraj Desai, MD2 , Sanford Roberts, MD1, Robert Lyons, MD1 , Charles Reilly, MD1 The authors have no financial interest to disclose. Wilford Hall Medical Center 1 University of Texas Health Sciences Center at San Antonio 2

  2. PURPOSE • To evaluate the impact on visual outcome of Femtosecond LASIK flap complications • Retrospective review • Compared to uncomplicated Femtosecond LASIK flaps

  3. METHODS • Retrospective case series • 586 eyes of 293 patients • Four surgeons • All femtosecond LASIK • All surgeries at Joint Warfighter Refractive Surgery Center at Lackland AFB, TX • Endpoint at one month • ETDRS testing • Data analysis using paired t-test

  4. METHODS • Types of complications (no surgical intervention required) • Diffuse lamellar keratitis • Microstriae • Flap tears • Incomplete side cut • Epithelial ingrowth • Compared to uncomplicated femtosecond LASIK eyes

  5. DISTRIBUTION OF COMPLICATIONS

  6. RESULTS:1D POSTOPERATIVE UCVA ETDRS LETTERS

  7. RESULTS:1 MONTH VISUAL ACUITIES ETDRS LETTERS

  8. RESULTS:PREOPERATIVE VS. POSTOPERATIVE UCVAs ETDRS LETTERS

  9. RESULTS:PREOPERATIVE VS. POSTOPERATIVE BSCVAs ETDRS LETTERS

  10. CONCLUSIONS • No statistically significant difference was observed in BSCVA among the group of patients with abnormalities in their flaps compared to normals • The overall incidence of intraoperative complications in femtosecond laser flap creation is exceedingly low at 1.02% in this series

  11. CONCLUSIONS • The overall incidence of postoperative flap complications is low at 7.16% and ultimately visually insignificant • All patients, regardless of complication, had comparable post operative BSCVA to preoperative BSCVA

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