Epithelial breakthrough during IntraLase flap creation for laser in situ keratomileusis.


Journal Article

We report the clinical manifestations and outcomes in 4 patients who experienced premature gas-bubble leakage during raster lamellar dissection during IntraLase femtosecond laser corneal flap creation. Three patients experienced a full-thickness epithelial breakthrough and the fourth, a flap tear. The patient who experienced the flap tear was unable to have laser in situ keratomileusis successfully. The flap complications did not result in a decreased best corrected visual acuity in any patient but may have resulted in epithelial ingrowth in one and a corneal scar and microstriae in another. Potential predisposing factors for epithelial breakthrough, the incidence of epithelial breakthrough, and methods for avoiding and salvaging traumatic corneal flaps are discussed.

Full Text

Cited Authors

  • Seider, MI; Ide, T; Kymionis, GD; Culbertson, WW; O'Brien, TP; Yoo, SH

Published Date

  • May 2008

Published In

Volume / Issue

  • 34 / 5

Start / End Page

  • 859 - 863

PubMed ID

  • 18471647

Pubmed Central ID

  • 18471647

International Standard Serial Number (ISSN)

  • 0886-3350

Digital Object Identifier (DOI)

  • 10.1016/j.jcrs.2007.12.043


  • eng

Conference Location

  • United States