Open Access

Intraoperative flap‑related complications in FemtoLASIK surgeries performed with Visumax® femtosecond laser: A ten‑year Romanian experience

  • Authors:
    • Bogdana Tăbăcaru
    • Simona Stanca
    • Valeria Mocanu
    • Mihail Zemba
    • Horia Tudor Stanca
    • Mihnea Munteanu
  • View Affiliations

  • Published online on: June 18, 2020     https://doi.org/10.3892/etm.2020.8907
  • Pages: 2529-2535
  • Copyright: © Tăbăcaru et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Incidence and clinical results of intraoperative flap and interface‑related complications were investigated after Femtosecond‑LASIK surgery, where flap creation was performed with VisuMax® femtosecond laser. A retrospective 10‑year cohort study was conducted including all eyes treated for all refractive errors by Femtosecond‑LASIK technique. All the flaps were made by the same refractive surgeon with the VisuMax® (Carl Zeiss Meditec) femtosecond laser. We report the intraoperative flap and interface‑related complications in these eyes, also describing their management. The study included 4,032 eyes. Flap and interface‑related complications were: opaque bubble layer (OBL) 21.18%, suction loss 1.29%, difficult docking 0.69%, difficult dissection of the flap 0.59%, bleeding from limbal blood vessels 0.35%, de‑epithelialization of the flap 0.12%, and interface debris 0.025%. These situations were appropriately addressed, with favorable outcomes. Flap creation is an important step in LASIK surgery. The predictability and safety have improved since the flap incision is assisted by a femtosecond laser, but complications of the flap and interface can still occur during the flap creation. Refractive surgeons should be aware and properly manage any unusual situation.

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September-2020
Volume 20 Issue 3

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Tăbăcaru B, Stanca S, Mocanu V, Zemba M, Stanca HT and Munteanu M: Intraoperative flap‑related complications in FemtoLASIK surgeries performed with Visumax® femtosecond laser: A ten‑year Romanian experience. Exp Ther Med 20: 2529-2535, 2020
APA
Tăbăcaru, B., Stanca, S., Mocanu, V., Zemba, M., Stanca, H.T., & Munteanu, M. (2020). Intraoperative flap‑related complications in FemtoLASIK surgeries performed with Visumax® femtosecond laser: A ten‑year Romanian experience. Experimental and Therapeutic Medicine, 20, 2529-2535. https://doi.org/10.3892/etm.2020.8907
MLA
Tăbăcaru, B., Stanca, S., Mocanu, V., Zemba, M., Stanca, H. T., Munteanu, M."Intraoperative flap‑related complications in FemtoLASIK surgeries performed with Visumax® femtosecond laser: A ten‑year Romanian experience". Experimental and Therapeutic Medicine 20.3 (2020): 2529-2535.
Chicago
Tăbăcaru, B., Stanca, S., Mocanu, V., Zemba, M., Stanca, H. T., Munteanu, M."Intraoperative flap‑related complications in FemtoLASIK surgeries performed with Visumax® femtosecond laser: A ten‑year Romanian experience". Experimental and Therapeutic Medicine 20, no. 3 (2020): 2529-2535. https://doi.org/10.3892/etm.2020.8907