LASIK enhancement using excimer laser ablation on the back of the flap.
OBJECTIVE
To report our surgical technique for LASIK enhancement by ablating the underside of the flap.


METHODS
Surgical case report of clinical outcomes in three eyes of two patients who had an initial laser ablation in the bed with subsequent enhancements on the underside of the flap.


RESULTS
Following LASIK enhancement on the back of the flap, two eyes gained one line of best spectacle-corrected visual acuity (BSCVA) after treatment compared to preoperatively, going from 20/15 to 20/12, and one eye maintained BSCVA at 20/20.


CONCLUSIONS
Excimer laser ablation of the underside of the flap is a viable alternative to treat corneas with minimal residual tissue whether primary or enhancement procedures are needed. A surgical learning curve exists with this technique.
Grim
Millicent
M
Gulf Eye Center, Dubai, United Arab Emirates. eyedoc@emirates.net.ae
Sheard
Janine
J
Martin
Lynn
L
D000328:Adult; D003319:Corneal Stroma / Q000601:surgery*; D019781:Corneal Topography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D020731:Keratomileusis, Laser In Situ / Q000379:methods*; D008297:Male; D009216:Myopia / Q000503:physiopathology / Q000601:surgery*; D012029:Refraction, Ocular; D013524:Surgical Flaps; D014792:Visual Acuity