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Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México

2007, Number 2

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Rev Mex Oftalmol 2007; 81 (2)

Epilasik: Curva de aprendizaje

Haber OA, Suárez SR, Graue WE, Vera HG

Language: Spanish
References: 17
Page: 90-96
PDF size: 178.84 Kb.


ABSTRACT

Introduction: The new alternative in the current surface refractive surgery named Epilasik is not exempt from complications, the complications that we found in the procedure were incomplete cut, amputation of the flap, and fracture of the epithelium during the manipulation.
Material and methods: 140 eyes of 70 patients in which surface refractive surgery was performed with the epilasik Norwood Centurion were included.
Results: Of 140 eyes, 45.71% (64) of the procedures developed without contingencies, 21.42% (30) presented amputation of the flap, 10.71% (15) incomplete cut and 22.14 % (31) epithelial fracture. Of 70 patients 38.57% (27) did not present complication in the creation of the flap in both eyes. In 100% of the cases we apply laser treatment.
Conclusions: The technology named Epilasik realized with the machine Centurion Norwood is safe because we applied it in 100 % of the laser treatments; it was effective in just 45.71 % (64) of the eyes and a epitelial flap could be created without complications.


REFERENCES

  1. Rajan MS, Watters W, Patmore A, Marshall J. In vitro human corneal model to investigate stromal epithelial interactions following refractive surgery. J Cataract Refract Surg 2005; 31(9):1789-801.

  2. Bilgihan K, Konuk O, Hondur A, Akyurek N, Ozogul C, Hasanreisoglu B. Effect of topical vitamin E on ethanol-induced corneal epithelial apoptosis. J Refract Surg 2005; 21(6):761-3.

  3. Esquenazi S, He J, Bazan NG, Bazan HE. Comparison of corneal wound-healing response in photorefractive keratectomy and laser-assisted sub epithelial keratectomy. J Cataract Refract Surg 2005; 31(8):1632-9.

  4. Pallikaris IG, Naoumidi II, Kalyvianaki MI, Katsanevaki VJ. Epi- LASIK: comparative histological evaluation of mechanical and alcohol-assisted epithelial separation. J Cataract Refract Surg 2003; 29(8):1496-501.

  5. Hazarbassanov R, Ben-Haim O, Varssano D, Grinbaum A, Kaiserman I. Alcohol-vs hypertonic saline-assisted laser-assisted subepithelial keratectomy. Arch Ophthalmol 2005; 123(2):171-6.

  6. Lee HK, Lee KS, Kim JK, Kim HC, Seo KR, Kim EK. Epithelial healing and clinical outcomes in excimer laser photorefractive surgery following three epithelial removal techniques: mechanical, alcohol, and excimer laser. Am J Ophthalmol 2005; 139(1):56-63.

  7. Laube T, Wissing S, Theiss C, Brockmann C, Steuhl KP, Meller D. Decreased keratocyte death after laser-assisted subepithelial keratectomy and photorefractive keratectomy in rabbits. J Cataract Refract Surg 2004; 30(9):1998-2004.

  8. Hashemi H, Fotouhi A, Foudazi H, Sadeghi N, Payvar S. Prospective, randomized, paired comparison of laser epithelial keratomileusis and photorefractive keratectomy for myopia less than -6.50 diopters. J Refract Surg 2004; 20(3):217-22.

  9. Zhou XT, Chu RY, Wang XY, Zhou H, Yu ZQ, Wu LC. The clinical study of the epithelial flap of painless LASEK and Epi-LASIK. Zhonghua Yan Ke Za Zhi. 2005; 41(11):977-80.

  10. Pallikaris IG, Kalyvianaki MI, Katsanevaki VJ, Ginis HS. Epi-LASIK: preliminary clinical results of an alternative surface ablation procedure. J Cataract Refract Surg 2005; 31(5):879-85.

  11. Netto MV, Mohan RR, Ambrosio R Jr, Hutcheon AE, Zieske JD, Wilson SE. Wound healing in the cornea: a review of refractive surgery complications and new prospects for therapy. Cornea 2005l; 24(5):509-22.

  12. Netto MV, Chalita MR, Rayborn M, Wilson SE, Krueger RR. Corneal wound healing response following different modalities of refractive surgical procedures. Arq Bras Oftalmo 2005: 68(1).

  13. Espana EM, Grueterich M, Mateo A, Romano AC, Yee SB, Yee RW y cols. Cleavage of corneal basement membrane components by ethanol exposure in laser-assisted subepithelial keratectomy. J Cataract Refract Surg 2003; 29(6):1192-7.

  14. Vigo L, Scandola E, Carones F. Scraping and mitomycin C to treat haze and regression after photorefractive keratectomy for myopia. J Refract Surg 2003; 19(4):449-54.

  15. Safianik B, Ben-Zion I, Garzozi HJ. Serious corneoscleral complications after pterygium excision with mitomycin C. Br J Ophthalmol 2002; 86:357-8.

  16. Netto MV, Wilson SE. Corneal wound healing relevance to wavefront guided laser treatments. Ophthalmol Clin North Am 2004; 17(2):225-31.

  17. Dai JH, Chen CD, Chu RY, Zhou XT, Qu XM, Wang XY, Yu ZQ, Zhang BH. Clinical investigation of epipolis laser in situ keratomileusis on high myopia. Zhonghua Yan Ke Za Zhi 2005; 41(3):211-5.




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