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26-07-2023 | Keratomileusis | Case Report

Development of interface haze after femtosecond laser-assisted in situ keratomileusis with accelerated corneal crosslinking: a case series

Authors: Hongbo Yin, Lixiang Wang, Rui Gong, Xiaolan Zhang, Ke Ma

Published in: International Ophthalmology | Issue 11/2023

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Abstract

Background

Femtosecond laser-assisted in situ keratomileusis (FS-LASIK) with accelerated corneal crosslinking (FS-LASIK Xtra) is a recent procedure to achieve safer corneal ablation in myopic patients with borderline corneal thickness. Despite its well-accepted effectiveness, the development of remarkable interface haze is a potential concern but has rarely been reported and discussed.

Methods

We report for the first time a case series of 11 eyes of 7 patients who developed typical interface haze 1–3 months after FS-LASIK Xtra for the correction of myopia with astigmatism, with intensity grades ranging from 0.5 + to 3 + at the time of onset.

Results

The preclinical spherical diopters of the 7 patients ranged from − 2.25 D to − 9.25 D and cylindrical diopters ranged from − 0.25 D to − 2.50 D. The haze tended to be self-limiting, and topical anti-inflammatory therapy was given to moderate and severe cases, who responded well to treatment.

Conclusions

The development of clinically significant interface haze is a relatively rare complication after FS-LASIK Xtra but tends to have a higher incidence and intensity compared to conventional stromal surgery such as FS-LASIK. Timely treatment and close follow-up are essential to patients undertaking FS-LASIK Xtra.
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Metadata
Title
Development of interface haze after femtosecond laser-assisted in situ keratomileusis with accelerated corneal crosslinking: a case series
Authors
Hongbo Yin
Lixiang Wang
Rui Gong
Xiaolan Zhang
Ke Ma
Publication date
26-07-2023
Publisher
Springer Netherlands
Published in
International Ophthalmology / Issue 11/2023
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI
https://doi.org/10.1007/s10792-023-02800-4

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