title: Effect of flap hinge placement on post-laser in situ keratomileusis wound healing in the presence of superior corneal vascularization.
abstract: We report a case that demonstrates a difference in wound healing after laser in situ keratomileusis using microkeratomes with both superior and nasal hinges in a patient with bilateral superior corneal vascularization. Subsequently, the patient experienced lamellar keratitis, epithelial defects, and peripheral thinning in both eyes. These postoperative conditions were more extensive and required more time to resolve in the eye with a nasal hinge flap. Creating a superiorly hinged flap decreases the likelihood of transecting extensive corneal pannus and may reduce the degree of postoperative complications.
authors.affiliation: School of Medicine, University of Utah, Salt Lake City, UT 84132, USA.
authors.forename: Trevin R
authors.initials: TR
authors.lastname: Wallin
authors.forename: Mitchell P
authors.initials: MP
authors.lastname: Weikert
authors.forename: Majid
authors.initials: M
authors.lastname: Moshirfar
mesh_terms: D000328:Adult; D000890:Anti-Infective Agents / Q000627:therapeutic use; D015715:Corneal Edema / Q000188:drug therapy / Q000209:etiology; D016510:Corneal Neovascularization / Q000150:complications*; D003319:Corneal Stroma / Q000601:surgery; D019781:Corneal Topography; D004359:Drug Therapy, Combination; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007634:Keratitis / Q000188:drug therapy / Q000209:etiology; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects*; D008297:Male; D015242:Ofloxacin / Q000627:therapeutic use; D011183:Postoperative Complications; D011239:Prednisolone / Q000031:analogs & derivatives* / Q000627:therapeutic use; D054140:Refractive Surgical Procedures; D013524:Surgical Flaps / Q000009:adverse effects*; D014945:Wound Healing
chemical_list: D000890:Anti-Infective Agents; D005938:Glucocorticoids; C009935:prednisolone acetate; D011239:Prednisolone; D015242:Ofloxacin