Effect of Suturing on Iatrogenic-Keratectasia after Laser in situ Keratomileusis

Kyoung Yul Seo, Joon H. Lee, Moon J. Kim, Jung Won Park, Eui Sang Chung, Young S. Lee, Eung Kweon Kim

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

PURPOSE: To evaluate the influence of corneal suturing on the clinical course of iatrogenic keratectasia after laser in situ keratomileusis (LASIK), in order to improve quality of vision and to avoid progressive deterioration of visual acuity. METHODS: Three patients (four eyes) who had a perforation during LASIK or became keratectatic after LASIK received corneal suturing with 10-0 nylon immediately or up to 11 days after LASIK. Sutures were left in place for 1 to 4 months. Patients were followed for 20 to 23 months after suturing. RESULTS: All eyes had a significant improvement in uncorrected and best spectacle-corrected visual acuity after suturing. The improvements in visual acuity for all patients remained unchanged after suture removal. In patient 1, keratectatic changes were not detected in the sutured eye although they were detected in the contralateral urisutured eye. In patient 2, both eyes were sutured, one immediately and the other 11 days after LASIK; no keratectatic changes were noted in either eye. Slight progression of corneal protrusion was observed in patient 3, who had corneal suturing after development of prominent keratectasia 2 weeks after LASIK. This eye showed stable but moderate keratectatic change 9 months after suture removal. CONCLUSIONS: Flap suturing in patients during the course of keratectasia after LASIK improved both aided and unaided visual acuity. Prompt suturing seemed to provide a means of preventive management for iatrogenic keratectasia in anticipation of keratoplasty.

Original languageEnglish
Pages (from-to)40-45
Number of pages6
JournalJournal of Refractive Surgery
Volume20
Issue number1
Publication statusPublished - 2004 Jan 1

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Laser In Situ Keratomileusis
Visual Acuity
Sutures
Corneal Transplantation
Nylons

All Science Journal Classification (ASJC) codes

  • Surgery
  • Ophthalmology

Cite this

Seo, K. Y., Lee, J. H., Kim, M. J., Park, J. W., Chung, E. S., Lee, Y. S., & Kim, E. K. (2004). Effect of Suturing on Iatrogenic-Keratectasia after Laser in situ Keratomileusis. Journal of Refractive Surgery, 20(1), 40-45.
Seo, Kyoung Yul ; Lee, Joon H. ; Kim, Moon J. ; Park, Jung Won ; Chung, Eui Sang ; Lee, Young S. ; Kim, Eung Kweon. / Effect of Suturing on Iatrogenic-Keratectasia after Laser in situ Keratomileusis. In: Journal of Refractive Surgery. 2004 ; Vol. 20, No. 1. pp. 40-45.
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Seo, KY, Lee, JH, Kim, MJ, Park, JW, Chung, ES, Lee, YS & Kim, EK 2004, 'Effect of Suturing on Iatrogenic-Keratectasia after Laser in situ Keratomileusis', Journal of Refractive Surgery, vol. 20, no. 1, pp. 40-45.

Effect of Suturing on Iatrogenic-Keratectasia after Laser in situ Keratomileusis. / Seo, Kyoung Yul; Lee, Joon H.; Kim, Moon J.; Park, Jung Won; Chung, Eui Sang; Lee, Young S.; Kim, Eung Kweon.

In: Journal of Refractive Surgery, Vol. 20, No. 1, 01.01.2004, p. 40-45.

Research output: Contribution to journalArticle

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N2 - PURPOSE: To evaluate the influence of corneal suturing on the clinical course of iatrogenic keratectasia after laser in situ keratomileusis (LASIK), in order to improve quality of vision and to avoid progressive deterioration of visual acuity. METHODS: Three patients (four eyes) who had a perforation during LASIK or became keratectatic after LASIK received corneal suturing with 10-0 nylon immediately or up to 11 days after LASIK. Sutures were left in place for 1 to 4 months. Patients were followed for 20 to 23 months after suturing. RESULTS: All eyes had a significant improvement in uncorrected and best spectacle-corrected visual acuity after suturing. The improvements in visual acuity for all patients remained unchanged after suture removal. In patient 1, keratectatic changes were not detected in the sutured eye although they were detected in the contralateral urisutured eye. In patient 2, both eyes were sutured, one immediately and the other 11 days after LASIK; no keratectatic changes were noted in either eye. Slight progression of corneal protrusion was observed in patient 3, who had corneal suturing after development of prominent keratectasia 2 weeks after LASIK. This eye showed stable but moderate keratectatic change 9 months after suture removal. CONCLUSIONS: Flap suturing in patients during the course of keratectasia after LASIK improved both aided and unaided visual acuity. Prompt suturing seemed to provide a means of preventive management for iatrogenic keratectasia in anticipation of keratoplasty.

AB - PURPOSE: To evaluate the influence of corneal suturing on the clinical course of iatrogenic keratectasia after laser in situ keratomileusis (LASIK), in order to improve quality of vision and to avoid progressive deterioration of visual acuity. METHODS: Three patients (four eyes) who had a perforation during LASIK or became keratectatic after LASIK received corneal suturing with 10-0 nylon immediately or up to 11 days after LASIK. Sutures were left in place for 1 to 4 months. Patients were followed for 20 to 23 months after suturing. RESULTS: All eyes had a significant improvement in uncorrected and best spectacle-corrected visual acuity after suturing. The improvements in visual acuity for all patients remained unchanged after suture removal. In patient 1, keratectatic changes were not detected in the sutured eye although they were detected in the contralateral urisutured eye. In patient 2, both eyes were sutured, one immediately and the other 11 days after LASIK; no keratectatic changes were noted in either eye. Slight progression of corneal protrusion was observed in patient 3, who had corneal suturing after development of prominent keratectasia 2 weeks after LASIK. This eye showed stable but moderate keratectatic change 9 months after suture removal. CONCLUSIONS: Flap suturing in patients during the course of keratectasia after LASIK improved both aided and unaided visual acuity. Prompt suturing seemed to provide a means of preventive management for iatrogenic keratectasia in anticipation of keratoplasty.

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Seo KY, Lee JH, Kim MJ, Park JW, Chung ES, Lee YS et al. Effect of Suturing on Iatrogenic-Keratectasia after Laser in situ Keratomileusis. Journal of Refractive Surgery. 2004 Jan 1;20(1):40-45.