Experience during the learning curve of laser in situ keratomileusis

Purpose: To identify pitfalls and offer hints on achieving a successful outcome during the early laser in situ keratomileusis (LASIK) learning process. Setting: Gimbel Eye Centre, Calgary, Alberta, Canada. Methods: This was a retrospective review of the preoperative planning, surgical procedure, int...

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Veröffentlicht in:Journal of cataract and refractive surgery 1996-06, Vol.22 (5), p.542-550
Hauptverfasser: Gimbel, Howard V., Basti, Surendra, Kaye, Geoffrey B., Ferensowicz, Maria
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container_end_page 550
container_issue 5
container_start_page 542
container_title Journal of cataract and refractive surgery
container_volume 22
creator Gimbel, Howard V.
Basti, Surendra
Kaye, Geoffrey B.
Ferensowicz, Maria
description Purpose: To identify pitfalls and offer hints on achieving a successful outcome during the early laser in situ keratomileusis (LASIK) learning process. Setting: Gimbel Eye Centre, Calgary, Alberta, Canada. Methods: This was a retrospective review of the preoperative planning, surgical procedure, intraoperative and postoperative problems, and early postoperative anatomic and refractive results in the first 73 eyes that had LASIK. Results: Intraoperative complications included failure of the keratome to make a cut, excessively thin cap, repositioning difficulty, and inadequate intraocular pressure elevation. Early postoperative complications included excessive central and peripheral wrinkling of the cap, peripheral lipid deposits, and central edema of the cap. One month postoperatively, mean spherical equivalent refraction was -0.90 diopters (D) (range +1.75 to -6.00 D), and 45 eyes had a best corrected visual acuity between 20/15 and 20/40. Conclusion: Our retrospective review of the problems experienced during the early LASIK learning process should help novice lamellar refractive surgeons avoid such problems and shorten the learning curve.
doi_str_mv 10.1016/S0886-3350(96)80006-X
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Conclusion: Our retrospective review of the problems experienced during the early LASIK learning process should help novice lamellar refractive surgeons avoid such problems and shorten the learning curve.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Clinical Competence</subject><subject>Cornea - surgery</subject><subject>Corneal Transplantation - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Intraocular Pressure</subject><subject>Intraoperative Complications</subject><subject>Laser Therapy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myopia - surgery</subject><subject>Ophthalmology - education</subject><subject>Postoperative Complications</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Graft diseases</topic><topic>Surgery of the eye and orbit</topic><topic>Visual Acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gimbel, Howard V.</creatorcontrib><creatorcontrib>Basti, Surendra</creatorcontrib><creatorcontrib>Kaye, Geoffrey B.</creatorcontrib><creatorcontrib>Ferensowicz, Maria</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cataract and refractive surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gimbel, Howard V.</au><au>Basti, Surendra</au><au>Kaye, Geoffrey B.</au><au>Ferensowicz, Maria</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Experience during the learning curve of laser in situ keratomileusis</atitle><jtitle>Journal of cataract and refractive surgery</jtitle><addtitle>J Cataract Refract Surg</addtitle><date>1996-06-01</date><risdate>1996</risdate><volume>22</volume><issue>5</issue><spage>542</spage><epage>550</epage><pages>542-550</pages><issn>0886-3350</issn><eissn>1873-4502</eissn><coden>JCSUEV</coden><abstract>Purpose: To identify pitfalls and offer hints on achieving a successful outcome during the early laser in situ keratomileusis (LASIK) learning process. 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subjects Adult
Biological and medical sciences
Clinical Competence
Cornea - surgery
Corneal Transplantation - methods
Female
Humans
Intraocular Pressure
Intraoperative Complications
Laser Therapy
Male
Medical sciences
Middle Aged
Myopia - surgery
Ophthalmology - education
Postoperative Complications
Retrospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the eye and orbit
Visual Acuity
title Experience during the learning curve of laser in situ keratomileusis
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