Abstract:
:A 25-year-old woman with moderate myopia presented for refractive surgery. Bilateral femtosecond laser-assisted small-incision lenticule extraction (SMILE) was scheduled and her right eye was completed smoothly. However, during the lenticule cutting of her left eye, a large inferior black area was noted. The operation was abandoned after an immediate optical coherence tomography examination, which revealed the corneal epithelium defect with no laser scanning line at the corresponding site. The secondary surgery was assigned to laser-assisted subepithelial keratomileusis (LASEK) after 1 week. The uncorrected distance visual acuity of her left eye recovered to 20/25 on the 12th day and to 20/20 at 3-month follow-up, with ideal corneal topography profiles. Corneal epithelium defect induced by accidental alcohol contact during disinfection was suspected to cause the black area. The management of black area had to be determined according to the location and size. LASEK was a rational substitution for the aborted SMILE.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Wang M,Chen Y,Zhang Ydoi
10.1097/j.jcrs.0000000000000185subject
Has Abstractpub_date
2020-06-01 00:00:00pages
913-917issue
6eissn
0886-3350issn
1873-4502journal_volume
46pub_type
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