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

We report a case of incision failure during small incision lenticule extraction (SMILE) and its management. 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 a...

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Published inAmerican journal of ophthalmology case reports Vol. 7; no. C; pp. 134 - 137
Main Authors Kim, Bu Ki, Mun, Su Joung, Lee, Dae Gyu, Choi, Hyun Tae, Chung, Young Taek
Format Journal Article
LanguageEnglish
Published United States Elsevier 01.09.2017
Subjects
Case report
Complication
Conjunctivochalasis
Small incision lenticule extraction
SMILE
Complication
Conjunctivochalasis
SMILE
Small incision lenticule extraction
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Abstract We report a case of incision failure during small incision lenticule extraction (SMILE) and its management. 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. 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.
AbstractList We report a case of incision failure during small incision lenticule extraction (SMILE) and its management. 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. 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.
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.
Author Kim, Bu Ki
Chung, Young Taek
Mun, Su Joung
Lee, Dae Gyu
Choi, Hyun Tae
AuthorAffiliation Onnuri Smile Eye Clinic, Hyobong Building 9F 1, Gangnam-daero 65 gil, Seocho-gu, Seoul, South Korea
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  givenname: Su Joung
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Cites_doi 10.1136/bjo.2004.051144
10.1016/j.ajo.2009.02.018
10.1097/ICO.0000000000000569
10.2147/OPTH.S61851
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10.1016/j.jcrs.2004.12.069
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Issue C
Keywords Complication
Conjunctivochalasis
SMILE
Small incision lenticule extraction
Language English
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Purpose: We report a case of incision failure during small incision lenticule extraction (SMILE) and its management. Observations: The incision could not be...
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Complication
Conjunctivochalasis
Small incision lenticule extraction
SMILE
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Title Management of incision failure during small incision lenticule extraction because of conjunctivochalasis
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