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Laser flap enhancement 5 to 9 years and 10 or more years after laser in situ keratomileusis: Safety and efficacy

Journal of Cataract & Refractive Surgery Oct 04, 2019

del Barrio JLA, et al. - In this retrospective case series, researchers tested the effectiveness and safety of refractive enhancement by flap lifting 5 and 10 years after laser in situ keratomileusis (LASIK). Eyes with a flap lift at least 5 years after primary LASIK with a 3-month follow-up have been assessed. Investigators found that the primary LASIK procedure was myopic in 45 eyes, hyperopic in 22 eyes, and presbyopic in 3 eyes. Data reported that the mean time was 12.3 years ± 3.45 (SD) from primary LASIK to the flap lift. The mean prelift spherical equivalent in the myopia group was −1.29 ± 1.23 diopters (D) and in the hyperopia group was +0.65 ± 1.72 D. Findings suggested that late flap lift for refractive enhancement 10 years or more after LASIK delivered fast visual recovery with good efficacy and safety. The rate of surgical intervention was low for significant postoperative epithelial ingrowth.
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