A Simple Method for the Removal of Epithelium Grown beneath the Hinge after LASIK

Jeong Soo Lim, Eung Kweon Kim, Jae Bum Lee, Jong Hyuck Lee

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

The purpose of this study is to demonstrate a method of how to remove epithelium grown beneath the hinge area after laser in situ keratomileusis (LASIK) without affecting the refractive part of the lenticule. In three cases, an incision was made at the base of the hinge by RK diamond knife to free the lenticule from the stroma. The lenticule was lifted from the nasal edge. The epithelium grown along the interface beneath the hinge area was removed with a Bard-Parker No. 15 knife. The lenticular flap was repositioned with interrupted sutures using 10-0 nylon. No further epithelial ingrowth was observed. The central cornea remained clear leaving a peripheral ring-shaped opacity without affecting the preoperative naked visual acuity. In conclusion, epithelial ingrowth along the interface after LASIK can be removed safely without affecting the refractive part by the incision of the hinge area with a RK diamond knife, removal of the epithelium, and suturing of the lenticule to the stromal bed.

Original languageEnglish
Pages (from-to)236-239
Number of pages4
JournalYonsei medical journal
Volume39
Issue number3
DOIs
Publication statusPublished - 1998 Jan 1

Fingerprint

Laser In Situ Keratomileusis
Diamond
Epithelium
Nylons
Nose
Cornea
Sutures
Visual Acuity

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Lim, Jeong Soo ; Kim, Eung Kweon ; Lee, Jae Bum ; Lee, Jong Hyuck. / A Simple Method for the Removal of Epithelium Grown beneath the Hinge after LASIK. In: Yonsei medical journal. 1998 ; Vol. 39, No. 3. pp. 236-239.
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A Simple Method for the Removal of Epithelium Grown beneath the Hinge after LASIK. / Lim, Jeong Soo; Kim, Eung Kweon; Lee, Jae Bum; Lee, Jong Hyuck.

In: Yonsei medical journal, Vol. 39, No. 3, 01.01.1998, p. 236-239.

Research output: Contribution to journalArticle

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AB - The purpose of this study is to demonstrate a method of how to remove epithelium grown beneath the hinge area after laser in situ keratomileusis (LASIK) without affecting the refractive part of the lenticule. In three cases, an incision was made at the base of the hinge by RK diamond knife to free the lenticule from the stroma. The lenticule was lifted from the nasal edge. The epithelium grown along the interface beneath the hinge area was removed with a Bard-Parker No. 15 knife. The lenticular flap was repositioned with interrupted sutures using 10-0 nylon. No further epithelial ingrowth was observed. The central cornea remained clear leaving a peripheral ring-shaped opacity without affecting the preoperative naked visual acuity. In conclusion, epithelial ingrowth along the interface after LASIK can be removed safely without affecting the refractive part by the incision of the hinge area with a RK diamond knife, removal of the epithelium, and suturing of the lenticule to the stromal bed.

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