Intraoperative complications of LASIK flaps using the IntraLase femtosecond laser in 3009 cases.
OBJECTIVE
To report the incidence and management of intraoperative complications while using the IntraLase FS femtosecond laser (Abbott Medical Optics) for flap creation during LASIK.


METHODS
A prospective log of intraoperative flap creation complications using the femtosecond laser was maintained over 3009 consecutive LASIK surgeries from August 2002 through July 2009.


RESULTS
Eleven (0.37%) intraoperative complications occurred. Eight suction breaks occurred, seven of which were treated with reapplication of the laser, the other by completing the side-cut with surgical dissection. One case of incomplete flap creation was treated with surgical dissection. Two cases of adherent flap were treated with reapplication of laser energy and surgical dissection. All surgeries were completed successfully during the same operative session.


CONCLUSIONS
Intraoperative complications during flap creation are minor, infrequent, and can be managed effectively within the same surgical session.
Wolfe Eye Clinic, Marshalltown, IA, USA. jdavison@wolfeclinic.com
James A
JA
Davison
Steven C
SC
Johnson
D000328:Adult; D005260:Female; D006801:Humans; D015994:Incidence; D007431:Intraoperative Complications; D020731:Keratomileusis, Laser In Situ; D054018:Lasers, Excimer / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000601:surgery*; D011446:Prospective Studies; D013524:Surgical Flaps; D055815:Young Adult