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July 13, 2003

Incidence of intraoperative corneal abrasions and correlation with age using the Hansatome and Amadeus microkeratomes during laser in situ keratomileusis
J Cataract Refract Surg 2003; 29:1174–1178

To compare the incidence of intraoperative corneal abrasions using the Hansatome® (Bausch & Lomb Surgical) and Amadeus (Advanced Medical Optics) microkeratomes and to determine whether there is a correlation between patient age and the occurrence of intraoperative corneal abrasions.The incidence of intraoperative corneal abrasions was significantly higher with the Hansatome microkeratome than with the Amadeus microkeratome (P =.014). There was a significant correlation between increasing patient age and the incidence of corneal abrasions with both microkeratomes (P<.05). Conclusions: Laser in situ keratomileusis surgeons should be aware that certain microkeratome designs pose a higher risk for intraoperative corneal abrasions and that older patients are more susceptible to intraoperative corneal epithelial injury. These patients should be informed accordingly for appropriate consent.

Posted by mehdi khanlari at July 13, 2003 11:18 PM