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Flap Folds After Femtosecond LASIK

Biser, Seth A. MD; Bloom, Adam H. MD; Donnenfeld, Eric D. MD; Perry, Henry D. MD; Solomon, Renée MD; Doshi, Sima MD

Eye & Contact Lens: Science & Clinical Practice: October 2003 - Volume 29 - Issue 4 - p 252-254
doi: 10.1097/01.icl.0000081600.43438.4B
Case Report

Purpose To report a case of bilateral flap folds after a laser-assisted in situ keratomileusis (LASIK) procedure in which the flap was created by the femtosecond laser.

Methods Retrospective chart review.

Results A 43-year-old white woman underwent bilateral simultaneous LASIK. The corneal flap was created with the femtosecond laser. Postoperatively, the patient noted significantly decreased visual acuity, glare, and haloes. She was diagnosed with corneal flap striae, which were treated unsuccessfully with a lifting and stretching procedure, but responded to subsequent bilateral flap suturing.

Conclusions Despite the increased accuracy in flap creation with the femtosecond laser, large flap folds may develop.

From Ophthalmic Consultants of Long Island, Rockville Centre, NY.

Accepted May 9, 2003.

Address correspondence and reprint requests to Dr. E.D. Donnenfeld, 2000 North Village Avenue, Suite 402, Rockville Centre, NY 11570; e-mail:

Dr. Biser was supported by a fellowship stipend from the Heed Ophthalmic Foundation.

© 2003 Lippincott Williams & Wilkins, Inc.