Komplikasi Lasik

Oleh :

dr.Saphira Evani

Secara garis besar komplikasi LASIK dibedakan menjadi komplikasi intraoperatif dan pascaoperatif. Komplikasi LASIK intraoperatif umumnya berkaitan dengan pembentukan flap kornea dan sisa debris pada interface. Komplikasi lain, seperti defek epitel kornea dan perdarahan, lebih jarang terjadi. Komplikasi intraoperatif dapat diminimalkan dengan pemeriksaan dan persiapan preoperatif yang lengkap dan teliti serta kemahiran operator yang baik.[15,16]

Komplikasi intraoperatif LASIK, antara lain:

Tabel 1. Komplikasi Intraoperatif LASIK

Referensi

2. American Academy of Ophthalmology. Summary recommendation for keratorefractive laser surgery. 2013. https://www.aao.org/clinical-statement/summary-recommendations-lasik--january-2008
4. American Optometric Association. Clinical practice recommendations: Optometric co-management of refractive surgery. https://www.aoa.org/Documents/optometrists/co-management-of-refractive-surgery.pdf
15. Azar DT, Koch DD. LASIK: Fundamentals, surgical techniques, and complications. New York. Basel, Marcel Dekker, Inc. 2003
16. Kozak A, Pathak AK, Feldman BH, Espandar L, Moshifar M, Plumb RC. LASIK complications. 2015. https://eyewiki.aao.org/LASIK_Complications
17. Mounir A, Mostafa EM, Elghobaier MG, Mohamed OA. Double femtosecond laser created incomplete flaps after repeated docking. World Journal of Ophthalmology & Vision Research. 2019;1(4):p1-3. https://irispublishers.com/wjovr/pdf/WJOVR.MS.ID.000517.pdf
18. Tucker SH, Sood P. Flap complications from femtosecond laser-assisted in situ keratomileusis. US Ophthalmic Review. 2019;12(1):21-27.
19. Birdsong O, Santaella RM. LASIK flap buttonhole management. 2019. https://eyewiki.aao.org/LASIK_Flap_Buttonhole_Management
20. Bower KS, Sia RK, Ryan DS, Mines MJ, Dartt DA. Chronic dry eye in PRK and LASIK: manifestations, incidence and predictive factors. J Cataract Refract Surg. 2015;41(12):2624-2634.
21. The epidemiology of dry eye disease: report of the Epidemiology Subcommittee of the International Dry Eye WorkShop (2007).Ocul Surf. 2007 Apr; 5(2):93-107.
22. Nabil KM. Flap double twist technique for prevention of LASIK flap striae. Clin Ophthalmol. 2016;10:2325-2328.
23. Buckner B, Feldman BH, Moshirfar M. Diffuse lamellar keratitis. 2019. https://eyewiki.aao.org/Diffuse_lamellar_Keratitis
24. Bialasiewicz A, Edward DP. Corneal ectasias: study cohorts and epidemiology. Middle East Afr J Ophthalmol. 2013 Jan-Mar; 20(1):3-4.
25. Son YW, He R, Ma JX, Koch DD, Wang L. Long-term safety of laser in situ keratomileusis in eye with thin corneas: 5-year follow-up. Int J Ophthalmol. 2018;11(7):1227-1233. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6048324/
26. Ogasawara K, Onodera T. Residual stromal bed thickness correlates with regression of myopia after LASIK. Clin Ophthalmol. 2016; 10():1977-1981.
27. Jia Z, Zhao S, Wei R, Huang Y, Zhang C, Yang R, et al. Interface fluid syndrome: A potential lifelong complication after LASIK. A case report. American Journal of Ophthalmology Caser Reports. 2018;11:23-25.

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