Common Complications in Lasik

Surgery- Peri-Operative Early Flap

Dislocation and Epithelial Ingrowth

LASIK surgery has become immensely popular as a safe and
quick form of Refractive Corrective Surgery. One of the
reasons for the lasik eye surgery in NJ to be immensely
popular is its low incidence of complications. However it
must be remembered that it is an operative procedure and
even if it is accomplished by the best lasik doctor, some risk
percentage is always there.

One such possibility in lasik procedure is peri-operative
early flap dislocation which can happen in less than a week
after the LASIK surgery. 1 to 2 percent incidence has been
reported. The main cause of this situation is due to
mechanical displacement by lid action particularly if the
ocular surface is dry in the early postoperative period. The
late onset of the traumatic LASIK flap dislocation in varying
periods from a week to 7 years after the LASIK procedure
has intensified the question about the adhesive strength
between the flap and the stromal bed.
Any kind of traumatic late flap dislocation post lasic eye surgery
must be treated as an ocular emergency. Patients with Traumatic
late flap dislocations have higher risk for flap folds, epithelial
ingrowth, DLK and infection. In such a condition, the usual
procedure is to raise the flap carefully and the interface is carefully
examined for any epithelial cells or other debris. The flap and the
corneal bed should be adequately scraped before the flap is
repositioned. For additional protection, a contact lens can be
applied to provide extra protection from further displacement and
to protect the flap from eyelid movement.

The patient should be adequately informed about such
complications before taking consent for carrying out the lasik eye
surgery. Patient who are involved in aggressive contact sports or in
jobs which require working in dusty environment must be
cautioned to take adequate protection to preempt any eye injury
after lasik eye surgery new jersey.
Another common complication which is seen after lasik
treatment is post-LASIK epithelial ingrowth. Epithelial
ingrowth (EI) is a post Lasik migration of epithelial cells
from the edges of the flap into the interface. The incidence
of EI has considerably reduced in the last few years due to
due to sophistication in surgical techniques and perfection
in microkeratome technology and with the introduction of
femtosecond laser flap creation. Most incidences of EI are
trivial and do not require any corrective process. Persons
with minimal visual loss and stable EI warrant only
observation. However about 1% of patients can have
complications which can result by blockages of aqueous
diffusion and flap nutrition and/or by producing proteolytic
enzymes, irregular astigmatism, foreign body sensation,
and visual impairment by extension to the visual axis. If the
EI progresses towards the visual axis or about 2mm beyond
the flap edge with significant loss of vision could require
surgical intervention.

Contacts us
Midtown NYC
110 East 55th Street, 3rd Floor
New York, NY 10022
For more detail please visit
http://www.manhattanlasikcenter.com/ or call us
212-759-9617