Flap double twist technique for prevention of LASIK flap striae

Karim Mahmoud Nabil Department of Ophthalmology, Faculty of Medicine, University of Alexandria, Alexandria, Egypt Abstract: A novel flap double twist technique was applied to reduce the incidence of post-laser-assisted in situ keratomileusis (LASIK) flap striae. The flap is floated and stroked in...

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Autor principal:	Nabil KM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Double flap twist technique LASIK flap striae Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/65cfb0aa0b4b43a1aaf3453a842fc147
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spelling	oai:doaj.org-article:65cfb0aa0b4b43a1aaf3453a842fc1472021-12-02T03:38:25ZFlap double twist technique for prevention of LASIK flap striae1177-5483https://doaj.org/article/65cfb0aa0b4b43a1aaf3453a842fc1472016-11-01T00:00:00Zhttps://www.dovepress.com/flap-double-twist-technique-for-prevention-of-lasik-flap-striae-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Karim Mahmoud Nabil Department of Ophthalmology, Faculty of Medicine, University of Alexandria, Alexandria, Egypt Abstract: A novel flap double twist technique was applied to reduce the incidence of post-laser-assisted in situ keratomileusis (LASIK) flap striae. The flap is floated and stroked in the same way as is done for management of first postoperative day striae, where the method is to float and irrigate the flap into position, followed by applying gentle pressure on the flap with a wet Merocel microsponge and moving the flap away from the hinge position. The sponge is then manually squeezed to become drier, and the flap is continuously stroked in a direction opposite to the hinge. Next, the flap is carefully twisted obliquely and sequentially in two opposite directions while applying gentle pressure on the flap in order to completely dehydrate the flap and stromal bed. Finally, the flap is repositioned while applying gentle horizontal pressure in two opposite directions. This novel flap double twist technique shows great success in post-LASIK striae prevention. Keywords: laser-assisted in situ keratomileusis, wrinkles, pressure, microspongeNabil KMDove Medical PressarticleDouble flap twist techniqueLASIK flap striaeOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 10, Pp 2325-2328 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Double flap twist technique LASIK flap striae Ophthalmology RE1-994
spellingShingle	Double flap twist technique LASIK flap striae Ophthalmology RE1-994 Nabil KM Flap double twist technique for prevention of LASIK flap striae
description	Karim Mahmoud Nabil Department of Ophthalmology, Faculty of Medicine, University of Alexandria, Alexandria, Egypt Abstract: A novel flap double twist technique was applied to reduce the incidence of post-laser-assisted in situ keratomileusis (LASIK) flap striae. The flap is floated and stroked in the same way as is done for management of first postoperative day striae, where the method is to float and irrigate the flap into position, followed by applying gentle pressure on the flap with a wet Merocel microsponge and moving the flap away from the hinge position. The sponge is then manually squeezed to become drier, and the flap is continuously stroked in a direction opposite to the hinge. Next, the flap is carefully twisted obliquely and sequentially in two opposite directions while applying gentle pressure on the flap in order to completely dehydrate the flap and stromal bed. Finally, the flap is repositioned while applying gentle horizontal pressure in two opposite directions. This novel flap double twist technique shows great success in post-LASIK striae prevention. Keywords: laser-assisted in situ keratomileusis, wrinkles, pressure, microsponge
format	article
author	Nabil KM
author_facet	Nabil KM
author_sort	Nabil KM
title	Flap double twist technique for prevention of LASIK flap striae
title_short	Flap double twist technique for prevention of LASIK flap striae
title_full	Flap double twist technique for prevention of LASIK flap striae
title_fullStr	Flap double twist technique for prevention of LASIK flap striae
title_full_unstemmed	Flap double twist technique for prevention of LASIK flap striae
title_sort	flap double twist technique for prevention of lasik flap striae
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/65cfb0aa0b4b43a1aaf3453a842fc147
work_keys_str_mv	AT nabilkm flapdoubletwisttechniqueforpreventionoflasikflapstriae
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Flap double twist technique for prevention of LASIK flap striae

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