A simple method for the removal of epithelium grown beneath the hinge after LASIK.
10.3349/ymj.1998.39.3.236
- Author:
Jeong Soo LIM
1
;
Eung Kweon KIM
;
Jae Bum LEE
;
Jong Hyuck LEE
Author Information
1. Department of Ophthalmology, KangBuk Samsung Hospital, SungKyunKwan University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Epithelial ingrowth;
hinge;
interrupted sutures;
laser in situ keratomileusis
- MeSH:
Adult;
Epithelium, Corneal/surgery*;
Epithelium, Corneal/pathology*;
Female;
Human;
Keratectomy, Photorefractive, Excimer Laser/adverse effects*;
Male;
Reoperation;
Suture Techniques;
Treatment Outcome;
Visual Acuity/physiology
- From:Yonsei Medical Journal
1998;39(3):236-239
- CountryRepublic of Korea
- Language:English
-
Abstract:
The purpose of this study is to demonstrate a method of how to remove epithelium grown beneath the hinge area after laser in situ keratomileusis (LASIK) without affecting the refractive part of the lenticule. In three cases, an incision was made at the base of the hinge by RK diamond knife to free the lenticule from the stroma. The lenticule was lifted from the nasal edge. The epithelium grown along the interface beneath the hinge area was removed with a Bard-Parker No. 15 knife. The lenticular flap was repositioned with interrupted sutures using 10-0 nylon. No further epithelial ingrowth was observed. The central cornea remained clear leaving a peripheral ring-shaped opacity without affecting the preoperative naked visual acuity. In conclusion, epithelial ingrowth along the interface after LASIK can be removed safely without affecting the refractive part by the incision of the hinge area with a RK diamond knife, removal of the epithelium, and suturing of the lenticule to the stromal bed.
