Aborted small-incision lenticule extraction resulting from false plane creation and strategy for subsequent removal based on corneal layered pachymetry imaging.
Adult
Corneal Pachymetry
Corneal Stroma
/ diagnostic imaging
Corneal Surgery, Laser
/ methods
Corneal Topography
Follow-Up Studies
Humans
Intraoperative Complications
Male
Myopia, Degenerative
/ diagnostic imaging
Refraction, Ocular
/ physiology
Reoperation
Tomography, Optical Coherence
Visual Acuity
/ physiology
Journal
Journal of cataract and refractive surgery
ISSN: 1873-4502
Titre abrégé: J Cataract Refract Surg
Pays: United States
ID NLM: 8604171
Informations de publication
Date de publication:
06 2019
06 2019
Historique:
received:
28
11
2018
revised:
05
02
2019
accepted:
21
02
2019
pubmed:
17
4
2019
medline:
12
9
2020
entrez:
17
4
2019
Statut:
ppublish
Résumé
We describe a complication of false plane creation during small-incision lenticule extraction (SMILE) and the surgical plan for subsequent lenticule removal. During a primary SMILE procedure to treat high myopia, the separator instrument entered a false lamellar plane as a result of an area of resistance caused by an area of opaque bubble layer (OBL). The procedure was aborted to avoid removing an irregular lenticule. Based on measurements of the anatomic landscape, a new inferonasal small incision was created. The lenticule was separated and removed without further incidence. The patient recovered as normal and at 6 months, the uncorrected distance visual acuity was 20/16
Identifiants
pubmed: 30987783
pii: S0886-3350(19)30167-1
doi: 10.1016/j.jcrs.2019.02.036
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
872-877Informations de copyright
Copyright © 2019 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.