Management of incision failure during small incision lenticule extraction because of conjunctivochalasis

PURPOSE: We report a case of incision failure during small incision lenticule extraction (SMILE) and its management. OBSERVATIONS: The incision could not be made using the femtosecond laser because of a redundant conjunctiva, so it was instead done manually using a diamond knife. The lenticule was s...

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Detalles Bibliográficos
Autores principales: Kim, Bu Ki, Mun, Su Joung, Lee, Dae Gyu, Choi, Hyun Tae, Chung, Young Taek
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Case report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5722160/
https://www.ncbi.nlm.nih.gov/pubmed/29260098
http://dx.doi.org/10.1016/j.ajoc.2017.06.020
Descripción
Sumario:PURPOSE: We report a case of incision failure during small incision lenticule extraction (SMILE) and its management. OBSERVATIONS: The incision could not be made using the femtosecond laser because of a redundant conjunctiva, so it was instead done manually using a diamond knife. The lenticule was successfully separated and extracted. Three months after the procedure, the uncorrected distance visual acuity was 20/20 and no complication was observed. CONCLUSIONS AND IMPORTANCE: This case demonstrates that the conjunctiva should be carefully examined before SMILE. If a complication occurs because of conjunctivochalasis, it can be resolved with proper management without compromising the patient's visual acuity.

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