[Management and retreatment of laser in situ keratomileusis flap buttonhole].
OBJECTIVE
To examine the etiology and management of buttonholes created during laser in situ keratomileusis (LASIK).


METHODS
Retrospective review of case records of 1010 eyes of 514 patients who underwent LASIK. Four eyes of 4 patients developed a flap buttonhole, and subsequent laser ablation was not performed. Retreatment was done after a mean interval of 6 months.


RESULTS
The etiology of a buttonhole was considered to be misuse of microkeratome in 1 patient and desiccation of the cornea in 2 patients, and could not be determined in 1 patient. Uncorrected visual acuity in those 4 patients was 1.2, 1.2, 0.9, and 1.5 respectively, after retreatment. The mean preoperative spherical equivalent was -5.47 diopters(D), and the mean spherical equivalent before retreatment was -5.19 D. The mean preoperative corneal refractive power of 43.53 D flattened to 42.88 D before retreatment. The mean preoperative corneal astigmatism of 1.63 D increased to 2.06 D before retreatment.


CONCLUSIONS
Misuse of microkeratome and desiccation of the cornea may cause a buttonhole. If a buttonhole is created, retreatment by LASIK scheduled several months later may achieve good uncorrected visual acuity.
Tagawa
Kosaku
K
Department of Ophthalmology, Yatsuo General Hospital, Toyama, Japan.
Higashide
Tomomi
T
Sugiyama
Kazuhisa
K
Kawasaki
Kazuo
K
D000328:Adult; D005260:Female; D006801:Humans; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects*; D008297:Male; D011183:Postoperative Complications; D012086:Reoperation