LASer in situ Keratomileusis complications – corneal flap striae and folds – own material

Introduction
The purpose of this study was, to classify striae and folds seen after LASIK as an early and late complications.

Material and methods
At the First Department and Clinique of Ophthalmology Silesian Medical School in Katowice LASIK procedure was performed since 1997. The material consisted of 155 eyes of 120 patients. There was a 24-month observation period after the procedure. The corneal cap techniques were used with Chiron-Adatomed Automated Corneal Shaper (mikrokeratom). The stromal bed was fotoablated with the Aesculap-Meditec MEL 60 excimer laser and Asclepion-Meditec MEL 70 G-Scan excimer laser.

Results
Four types of folds and striae were described: pseudostriae, vertical or oblique folds at the hinge of the flap, small faint in stroma and deep, irregular striae or folds in stroma.

Conclusions
Corneal flap striae and folds, which we can see as a Laser in situ Keratomileusis complications have a variety of appearances and different postoperative courses, that require accurate diagnosis and management.