Flap lift and repair of postoperative laser in situ keratomileusis complications at the slitlamp.
We describe a technique to treat flap complications after laser in situ keratomileusis while seated at the slitlamp biomicroscope. After topical anesthesia is applied to the cornea, a blunt corneal spatula is used to reflect the flap only to the extent necessary for epithelial debridement. A corneal rake or spatula is then used to remove retained epithelial cells from the stromal bed and underside of the flap. The epithelium is then debrided 1.0 mm to 2.0 mm outside the flap gutter. The increased depth perception with a slit beam greatly improves visualization and identification of the presence of residual epithelial cells or leftover debris after scraping. The slit beam also aids in proper repositioning of the flap after the procedure.


BACKGROUND
No author has a financial or proprietary interest in any material or method mentioned.
Koplin
Richard S
RS
Department of Ophthalmology, New York Eye and Ear Infirmary, New York, New York 10003, USA.
Ritterband
David C
DC
Lee
Olivia L
OL
Seedor
John A
JA
D000328:Adult; D000772:Anesthesia, Local; D003316:Corneal Diseases / Q000209:etiology / Q000601:surgery*; D003319:Corneal Stroma / Q000601:surgery*; D003646:Debridement / Q000379:methods*; D005260:Female; D006801:Humans; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012086:Reoperation; D013524:Surgical Flaps