Secondary ametropia retreatment with flap lifting performed long after LASIK surgery: a clinical case
https://doi.org/10.21516/2072-0076-2023-16-3-136-140
Abstract
Purpose: to present a clinical case of secondary ametropia retreatment with flap lifting, which was performed long after a LASIK surgery.
Material and methods. A female patient who experienced a regression of the refraction effect after a LASIK surgery, received a flap lifting with keratoablation 18 years after the primary LASIK surgery. 8 days following this procedure, the patient developed a complication, namely an epithelial ingrowth. Another flap lifting procedure was performed and the epithelial ingrowth was removed.
Results. The expected refractive effect was achieved with binocular hypocorrection as planned.
Conclusion. A repeated flap lifting undertaken 3 years or more after the first LASIK or FemtoLASIK surgery increases the risk of a complication — an epithelial ingrowth into the space under the flap. To avoid the complication in such cases, the retreatment by PRK is preferable. Scarification and elimination of the in-grown epithelial should be performed early after the surgery.
About the Authors
N. V. Khodzhabekyan
Helmholtz National Medical Research Center of Eye Diseases
Russian Federation
Russian Federation
Narine V. Khodzhabekyan - Cand. of Med. Sci., leading researcher, department of refraction pathology, binocular vision and ophtalmoergonomics
14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062
A. T. Khandzhyan
Helmholtz National Medical Research Center of Eye Diseases
Russian Federation
Russian Federation
Anush T. Khandzhyan - Cand. of Med. Sci., senior researcher, department of pathology of retina and optic nerve
14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062
A. V. Ivanova
Helmholtz National Medical Research Center of Eye Diseases
Russian Federation
Russian Federation
Anastasiya V. Ivanova - Cand. of Med. Sci., researcher, department of refraction pathology, binocular vision and ophtalmoergonomics
14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062
A. S. Sklyarova
Helmholtz National Medical Research Center of Eye Diseases
Russian Federation
Russian Federation
Anna S. Sklyarova - Cand. of Med. Sci., ophthalmologist, department of pathology of retina and optic nerve
14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062
I. V. Manukyan
Helmholtz National Medical Research Center of Eye Diseases
Russian Federation
Russian Federation
Inessa V. Manukyan - Cand. of Med. Sci., ophthalmologist, department of day hospital
14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062
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Review
For citations:
Khodzhabekyan N.V., Khandzhyan A.T., Ivanova A.V., Sklyarova A.S., Manukyan I.V. Secondary ametropia retreatment with flap lifting performed long after LASIK surgery: a clinical case. Russian Ophthalmological Journal. 2023;16(3):136-140. (In Russ.) https://doi.org/10.21516/2072-0076-2023-16-3-136-140
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