Refractive Surgery News

1/3 of LASIK Patients Unhappy With Results

Survey Finds More Than Two Million Americans Not Satisfied With Lasik Results CHICAGO, Oct. 14 /PRNewswire/ -- Nearly 1 in 3 Americans have complained of under or over correction in one or both eyes, loss of quality of vision, vision fluctuations and poor vision...
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Researchers Conclude Lasik is More Damaging than PRK

Corneal barrier function, tear film stability, and corneal sensation after photorefractive keratectomy and laser in situ keratomileusis American Journal of Ophthalmology Volume 139, Issue 1, January 2005, Pages 64-71 Ryohei Nejima MD, Kazunori Miyata MD, Tatsuro Tanabe MD, Fumiki Okamoto MD, Takahiro Hiraoka MD, Takahiro...
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Ghostbusters Look for Cause of Ectasia

Ectasia after LASIK  Mario Oyarzún MD and Luis Bravo MD  Letter to Journal of Cataract & Refractive Surgery When we saw the article by Binder, we expected to find the answer to many questions about how to predict the patients at higher risk for developing...
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Eye Surgery Deemed Too Risky for NHS

Watchdog says the chances of damage in treatment do not justify widespread use By Sam Lister MOVES to make laser eye surgery available on the NHS are likely to be blocked by the Government’s clinical watchdog amid growing concerns over its long-term safety for patients....
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Longer Discontinuance of Rigid Contact Lens Use Before LASIK Surgery Recommended

Medical Devices & Surgical Technology Week A study published in the Journal of Cataract and Refractive Surgery suggests that rigid contact lens users should stop using contacts and switch to glasses 3 to 6 weeks before having pre-LASIK examinations, rather than the traditional 3 weeks....
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Researchers Conclude Nidek MK-2000 is Better than Hansatome and ACS Microkeratomes

Comparison of corneal flap thickness between primary and fellow eyes using three microkeratomes Journal of Refractive Surgery Volume 20, Issue 5, September 2004, Pages 417-421 Shemesh, G., Leibovitch, I. , Lipshitz, I. Ophthalmic Health Center Department of Ophthalmology, Tel-Aviv Sourasky Medical Center, Tel-Aviv Abstract PURPOSE: ...
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Researchers Conclude ACS is Worse than Hansatome and MK-2000 Microkeratomes

Intraoperative microkeratome complications in 47,094 laser in situ keratomileusis surgeries Journal of Refractive Surgery Volume 20, Issue 5 SUPPL., September 2004, S723-S726 Nakano, K., Nakano, E, Oliveira, M, Portellinha, W., Alvarenga, L. Abstract PURPOSE: We evaluated the incidence and intraoperative microkeratome-related complications in laser in...
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Pupil Size Again Proven to be a Factor in Night Vision Problems

Pupil size and night vision disturbances after LASIK for myopia Acta Ophthalmologica Scandinavica Volume 82, Issue 4, August 2004, Pages 454-460 Helgesen, A., Hjortdal, J., Ehlers, N. Department of Ophthalmology, Århus University Hospital, Århus, Denmark Eye Department, Århus Kommunehospital, Nørrebrogade 44, 8000 Århus C, Denmark...
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Comparison of Two Moria Microkeratomes

Clinical evaluation of two types of microkeratome for laser in situ keratomileusis (LASIK) Japanese Journal of Clinical Ophthalmology Volume 58, Issue 8, August 2004, Pages 1515-1517 Tagawa, K., Kawasaki, K. , Higashide, T. Dept. of Ophthalmol., Yatsuo General Hosp., Yatsuo Nei Toyama, Japan Jinzu Eye...
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Cornell University: "LASIK not worth it"

The Risks of LASIK Corrective Eye Surgery: A Mass Transfer Approach to a Universal Concern By:   Julia Ferullo Kellly Ruggles Bina Lokchander Christina Siryk Puneet Panda Although there are social and aesthetic benefits to the surgery, such as having no need for glasses or contact...
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Macular Hemorrhage with Intralase Laser

Macular hemorrhage after laser in situ keratomileusis (LASIK) with femtosecond laser flap creation American Journal of Ophthalmology Volume 138, Issue 4 , October 2004, Pages 657-659 Alexandre H. Principe MD, Danny Y. Lin MDa Kent W. Small MD and Anthony J. Aldave MD, Cornea (A.H.P.,...
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Researchers Admit to High Incidence of Long-term Pain Following Refractive Surgery

Neural Basis of Sensation in Intact and Injured Corneas  Experimental Eye Research 78 (2004) 513–525 Carlos Belmonte, M.  Carmen Acosta, Juana Gallar Instituto de Neurociencias de Alicante, Universidad Miguel Herna´ndez–CSIC, Apdo correos 18, 03550 San Juan de Alicante, Spain Abstract A renewed interest in...
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Surgeons Discover that Microkeratomes Leave Plastic Particles in Corneas

Plastic Particles at the LASIK Interface Anders Ivarsen, MD, Jan Thøgersen, PhD, Søren Rud Keiding, PhD, Jesper Ø. Hjortdal, MD, PhD, Torben Møller-Pedersen, MD, PhD Purpose:  To investigate the origin, composition, and persistence of the interface particles that frequently are observed after LASIK. Design: ...
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Corneal Nerve Damage Continues to Increase 2-3 Years After LASIK

Both subbasal and stromal corneal nerves in LASIK flaps recover slowly and do not return to preoperative densities by 3 years after LASIK. The numbers of subbasal nerves appear to decrease between 2 and 3 years after LASIK. The orientation of the regenerated subbasal nerves remains predominantly vertical.
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Researchers Conclude Moria M2 is Better Than Hansatome and ACS Microkeratomes

Quality assessment model of 3 different microkeratomes through confocal microscopy Journal of Cataract and Refractive Surgery 2004; 30:1300–1309. 2004 ASCRS and ESCRS Jaime Javaloy, MD, PhD, Marý´a T. Vidal, MD, Antonio Quinto, OA, Victoria de Rojas, MD, PhD, Jorge L. Alio´, MD, PhD Purpose: To...
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Surgeons Discover that Cornea Flaps Never Fully Reattach

To Lift or Recut: Changing trends in LASIK enhancement Roy S. Rubinfeld, MD, David R. Hardten, MD, Eric D. Donnenfeld, MD, Raymond M. Stein, MD, Douglas D. Koch, MD, Mark G. Speaker, MD, PhD, Joseph Frucht-Pery, MD, Anthony J. Kameen, MD, Gerald J. Negvesky,...
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A Mysterious Tale: The Search for the Cause of 100+ Cases of Diffuse Lamellar Keratitis

Publishing an anonymous article in which the author is not identified in a peer reviewed journal may seem inconsistent. However, this mysterious tale can, I believe, be extremely instructive for all readers, especially since it leads to no firm, clear-cut conclusion. I expect considerable correspondence...
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Surgeons Describe a 5-8% Flap Complication Rate for Lasik

Preventing LASIK Buttonholes Steep corneas and surface dryness increase patient risk Balamurali K. Ambati, MD, and Alan N. Carlson, MD LASIK is now widely performed, with an estimated 1.5 million procedures performed last year.1 Flap complications have been reported in 5% to 8.7% of cases.2...
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