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Keywords = diffuse lamellar keratitis (DLK)

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12 pages, 1981 KB  
Article
Five-Year Incidence, Management, and Visual Outcomes of Diffuse Lamellar Keratitis after Femtosecond-Assisted LASIK
by Majid Moshirfar, Kathryn M Durnford, Adam L Lewis, Chase M Miller, David G West, R Alek Sperry, William B West, Kathryn M Shmunes, Shannon E McCabe, MacGregor N Hall, Yasmyne C Ronquillo and Phillip C Hoopes
J. Clin. Med. 2021, 10(14), 3067; https://doi.org/10.3390/jcm10143067 - 11 Jul 2021
Cited by 11 | Viewed by 4973
Abstract
Femtosecond (FS) lasers initially had a higher incidence of diffuse lamellar keratitis (DLK) compared with microkeratome flap creation. It has been theorized that higher-frequency lower-energy (HFLE) FS lasers would reduce the incidence of DLK. Our study sought to evaluate the incidence of newer [...] Read more.
Femtosecond (FS) lasers initially had a higher incidence of diffuse lamellar keratitis (DLK) compared with microkeratome flap creation. It has been theorized that higher-frequency lower-energy (HFLE) FS lasers would reduce the incidence of DLK. Our study sought to evaluate the incidence of newer HFLE FS lasers with pulse frequencies above 60 kHz. It was a retrospective case-control study evaluating the incidence of DLK following flap creation with one of three FS lasers (AMO iFs, WaveLight FS200, Zeiss VisuMax). Uncomplicated LASIK cases were included as the control group (14,348 eyes) and cases of DLK were recorded in the study group (637 eyes). Of the 637 cases of DLK, 76 developed stage II, 25 progressed to stage III, and only three developed stage IV DLK. The overall incidence rate of DLK was 4.3%; it has fallen with the invention of newer HFLE FS lasers and is approaching the DLK incidence rates of DLK with microkeratome. Full article
(This article belongs to the Special Issue Refractive Surgery: Current Practice and Future Trends)
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