My way to Epi-LASIK

Article

Dr Josef Reiter describes his reasons for increasing his number of Epi-LASIK procedures.

Key Points

One of my first Epi-LASIK patients was a 47-year old moderately myopic female. At day one and day three postoperatively, her eyes looked beautifully clear, much better than the typical eye following PRK (Figures 1 & 2). By day three, re-epithelialization was complete, and the patient was not experiencing any pain at all. At the one-week visit, I saw some cystoid epithelial changes, which then fully resolved. Overall, this patient had an excellent refractive outcome at one month and one year, with no haze.

I perform the epithelial separation in three steps:

I perform iris registration and a wavefront-guided ablation with the AMO Visx S4 IR laser system. If the ablation is deeper than 75 µm I apply mitomycin C (MMC) 0.02% for 15 seconds. At the end of the case, I apply ice-cold BSS. This step is extremely important for both comfort and healing.

In unusual cases where I reposition the flap, I like to flush it back into place with BSS, so that manipulation is minimized. I wait 30-40 seconds then put a bandage contact lens on the eye.

Related Videos
Ana Neves, head of global marketing for ZEISS Meditec Ophthalmology
Kasperi Kankare at the iCare booth at ESCRS
Scott D Barnes, MD, CMO of STAAR Surgical
Tomislav Bucalic, head of marketing at Geuder, and David Geuder, member of the executive board and CIO
Thomas Bosshard stands at the Oertli Instruments booth at the ESCRS meeting
Eva Kim, MD, speaks about her presentation on ICL versus CLE at the Women in Ophthalmology Summer Symposium 2023 in Marco Island, Florida.
© 2024 MJH Life Sciences

All rights reserved.