Incidence of Flap Complications of Hansatome(R)in Laser in Situ Keratomileusis.

Cho, Hyun Su; Tchah, Hung Won

Original Article

Journal of the Korean Ophthalmological Society 2003;44(3):692-698.
Published online March 1, 2003.

Incidence of Flap Complications of Hansatome(R)in Laser in Situ Keratomileusis.

Department of Ophthalmology, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea. hwtchah@www.amc.seoul.kr

라식수술에서 Hansatome(R) 을 사용하였을때 각막절편 합병증의 빈도

조현수 ( Hyun Su Cho ) , 차홍원 ( Hung Won Tchah )

Abstract

PURPOSE
We investigated incidence of flap complications of Hansatome(R) (Bausch and Lomb) microkeratome in Laser In Situ Keratomileusis in Korean. METHODS: The author retrospectively investigated 889 eyes operated with Hansatome by 3 surgeons in Asan Medical Center. Sugeon I operated 227 eyes, Surgeon II 95 eyes and surgeon III 567 eyes. Complications were categorized into intraoperative and postoperative. We compared 567 eyes operated with Hansatome with 621 eyes opreated with Automated Corneal Shaper(R) (Bausch and Lomb Surgical, Chiron Division) by surgeon III. RESULTS: The incidence of flap complications of Hansatome in LASIK was 10 eyes (1.12%); 4 eyes (1.76%) by surgeon I, 3 eyes (3.16%) by surgeon II and 3 eyes (0.53%) by surgeon III. There was significant difference between the surgeons in incidence of complications (P< 0.05). The incidence of flap complications in Hansatome (0.53%) was significantly lower than in ACS keratome (3.0%) in surgeon III (P< 0.05). CONCLUSIONS: The incidence of flap complications in Hansatome was lower than in ACS keratome. There was significant decrease in experienced surgeon in terms of complications.

Key Words: Automated corneal shaper;Flap;Hansatome;Laser in situ keratomileusis