Mission for Vision- Complications of LASIK

The complications of LASIK with links to scientific articles for patients, ophthalmologists, medical students, optometrists and those contemplating the procedure.

About Mission for Vision

Friday, October 21, 2005

Complications of LASIK Surgery

Information from websites about the complications of LASIK (Laser In Situ Keratomileusis) is usually understated by LASIK surgeons. LASIK surgeons make their living (usually a very lucrative living) from the procedure as is evident from the adjacent advertisements). The information that the LASIK surgeons post, generally, trivialize the complications, and in some cases take the form of advertisement to attract paying patients to their sites. Here, we have made a concerted effort to list most of the published complications of LASIK and as you will see, it is an astonishingly long list. Unfortunately, our list is incomplete as the long term effects are just beginning to be known. If you are considering having the procedure, carefully consider the below list of published complications. Many of these are vision threatening and require corneal transplantation which may be unsuccessful. Others result in permanent loss of vision. Click on the links of the reported complications of (LASIK) include :
  1. keratectasia requiring cornea transplant
  2. corneal perforation requiring cornea transplant
  3. inaccurate IOL power calculations for cataract surgery
  4. retinal detachment
  5. optic neuropathy
  6. stromal scarring
  7. thin irregular flaps
  8. buttonholed flaps,
  9. incomplete flaps,
  10. dislodged flaps,
  11. free cap,
  12. flap folds,
  13. epithelial implantation and ingrowth,
  14. accumulation of interface debris,
  15. epithelial defects,
  16. topographical central islands,
  17. decentered ablation
  18. induced astigmatism,
  19. halos (glare)
  20. loss of contrast sensitivity
  21. dry eyes
  22. infectious keratitis
  23. sterile infiltrates,
  24. diffuse lamellar keratitis
  25. cataract formation
  26. decreased endothelial cell counts
  27. difficulty with contact lens fitting,
  28. unilateral and bilateral macular hemorrhage

References (see links above)
1. Melki SA, Azar DT, LASIK complications. Survey of Ophthalmology 2001; 145: 95-116
2. Cameron BD et al. LASIK- induced optic neuropathy. Ophthalmology 2001;108:660-665

Saturday, October 08, 2005

Don Kikkawa, M.D. Scientific Publications

Papers Concerning Diseases of the Orbit and Oculoplastic Surgery
1. Morrison VL, Kikkawa DO, Herndier BG. Tetracycline induced green conjunctival pigment deposits. Br J Ophthalmol 2005; 89: 1372-1373.
2. Lee C, Kikkawa DO, Pasco NY, Granet DB. Advanced functional oculofacial indications of botulinum toxin. Int Ophthalmol Clin 2005; 45: 77-91.
3. Farid M, Roch-Levecq AC, Levi L, Brody BL, Granet DB, Kikkawa DO. Psychological disturbance in graves ophthalmopathy. Arch Ophthalmol 2005; 123: 491-496.
4. Park EH, Korn TS, Vasani SN, Kikkawa DO. Autologous allogeneic amniotic membrane grafting in Stevens-Johnson syndrome. Ophthal Plast Reconstr Surg 2003; 19: 250-251.
5. Kikkawa DO, Cruz RC, Jr., Christian WK, Rikkers S, Weinreb RN, Levi L, Granet DB. Botulinum A toxin injection for restrictive myopathy of thyroid-related orbitopathy: effects on intraocular pressure. Am J Ophthalmol 2003; 135: 427-431.
6. Guillinta P, Vasani SN, Granet DB, Kikkawa DO. Prosthetic motility in pegged versus unpegged integrated porous orbital implants. Ophthal Plast Reconstr Surg 2003; 19: 119-122.
7. Kikkawa DO, Ochabski R, Weinreb RN. Ultrasound biomicroscopy of eyelid lesions. Ophthalmologica 2003; 217: 20-23.
8. Lee AC, Fedorovich I, Heinz GW, Kikkawa DO. Socket reconstruction with combined mucous membrane and hard palate mucosal grafts. Ophthalmic Surg Lasers 2002; 33: 463-468.
9. Kikkawa DO, Heinz GW, Martin RT, Nunery WN, Eiseman AS. Orbital cellulitis and abscess secondary to dacryocystitis. Arch Ophthalmol 2002; 120: 1096-1099.
10. Kikkawa DO, Pornpanich K, Cruz RC, Jr., Levi L, Granet DB. Graded orbital decompression based on severity of proptosis. Ophthalmology 2002; 109: 1219-1224.
11. Vasani SN, Miller SR, Pornpanich K, Kikkawa DO. Unmasking of an orbital dermolipoma following aesthetic facial surgery. Ophthal Plast Reconstr Surg 2002; 18: 162-163.
12. Weisman RA, Kikkawa D, Moe KS, Osguthorpe JD. Orbital tumors. Otolaryngol Clin North Am 2001; 34: 1157-1174, ix-x.
13. Kikkawa DO, Weinstein G. Oculoplastic surgery in cyberspace. Ophthal Plast Reconstr Surg 2000; 16: 399-400.
14. Kim JW, Kikkawa DO, Aboy A, Glasgow BJ. Chronic exposure of hydroxyapatite orbital implants: cilia implantation and epithelial downgrowth. Ophthal Plast Reconstr Surg 2000; 16: 216-222.
15. Kikkawa DO, Miller SR, Batra MK, Lee AC. Small incision nonendoscopic browlift. Ophthal Plast Reconstr Surg 2000; 16: 28-33.
16. Lemke BN, Kikkawa DO. Repair of orbital floor fractures with hydroxyapatite block scaffolding. Ophthal Plast Reconstr Surg 1999; 15: 161-165.
17. Linebarger EJ, Kikkawa DO, Floyd B, Granet D, Booth M. Conjunctival aluminum deposition following pneumatic cryopexy. Arch Ophthalmol 1999; 117: 692-693.
18. Gupta N, Kikkawa DO, Levi L, Weinreb RN. Severe vision loss and neovascular glaucoma complicating superior ophthalmic vein approach to carotid-cavernous sinus fistula. Am J Ophthalmol 1997; 124: 853-855.
19. Kikkawa DO, Kim JW. Asian blepharoplasty. Int Ophthalmol Clin 1997; 37: 193-204.
20. Kikkawa DO, Kim JW. Lower-eyelid blepharoplasty. Int Ophthalmol Clin 1997; 37: 163-178.
21. Heinz GW, Kikkawa DO. The aging upper and middle face: an overview for the aesthetic surgeon. Int Ophthalmol Clin 1997; 37: 1-10.
22. Cook JN, Kikkawa DO. Proptosis as the manifesting sign of Weber-Christian disease. Am J Ophthalmol 1997; 124: 125-126.
23. Kim JW, Kikkawa DO, Lemke BN. Donor site complications of hard palate mucosal grafting. Ophthal Plast Reconstr Surg 1997; 13: 36-39.
24. Kikkawa DO, Lemke BN, Dortzbach RK. Relations of the superficial musculoaponeurotic system to the orbit and characterization of the orbitomalar ligament. Ophthal Plast Reconstr Surg 1996; 12: 77-88.
25. Dunn JP, Jr., Mondino BJ, Weissman BA, Donzis PB, Kikkawa DO. Corneal ulcers associated with disposable hydrogel contact lenses. Am J Ophthalmol 1989; 108: 113-117.
26. Fisher LA, Kikkawa DO, Rivier JE, Amara SG, Evans RM, Rosenfeld MG, Vale WW, Brown MR. Stimulation of noradrenergic sympathetic outflow by calcitonin gene-related peptide. Nature 1983; 305: 534-536.