title: Hyperthermic treatment of post-LASIK corneal striae.
abstract: OBJECTIVE
  To investigate the effect of hyperthermia for the treatment of long-standing corneal flap striae after laser in situ keratomileusis (LASIK).
  
  
  METHODS
  TLC Laser Eye Center, Garden City, New York, USA.
  
  
  METHODS
  Patients with visually significant flap striae at least 3 weeks post-LASIK were offered hyperthermic treatment. The central 6.0 mm of epithelium was removed from affected corneas, and the flaps were elevated. A striae removal spatula was heated to 65 degrees C in sterile water, and both sides of the flaps were mechanically massaged with the spatula for 5 to 10 minutes until the striae were visually reduced.
  
  
  RESULTS
  Thirty-six eyes of 34 patients were treated with hyperthermia to remove corneal striae. All patients had a clinical reduction in striae. The mean pretreatment best corrected visual acuity (BCVA) was 20/44, improving to 20/25 on follow-up (mean follow-up 16.4 months). Patients subjectively noted reduced haze and glare and no loss of BCVA. There were no serious flap complications.
  
  
  CONCLUSIONS
  Hyperthermic treatment is a safe, effective treatment option for corneal striae after LASIK.
authors.affiliation: Nassau County Medical Center, East Meadow, NY 11570, USA.
authors.forename: Eric D
authors.initials: ED
authors.lastname: Donnenfeld
authors.forename: Henry D
authors.initials: HD
authors.lastname: Perry
authors.forename: Sima J
authors.initials: SJ
authors.lastname: Doshi
authors.forename: Seth A
authors.initials: SA
authors.lastname: Biser
authors.forename: Renée
authors.initials: R
authors.lastname: Solomon
mesh_terms: D000328:Adult; D003316:Corneal Diseases / Q000209:etiology / Q000628:therapy*; D003319:Corneal Stroma; D005260:Female; D006801:Humans; D006979:Hyperthermia, Induced; D020731:Keratomileusis, Laser In Situ; D008297:Male; D011183:Postoperative Complications / Q000628:therapy*; D012449:Safety; D013524:Surgical Flaps; D016896:Treatment Outcome; D014792:Visual Acuity