PMID: 10941649

Issn Print: 0020-8167

Publication Date: 2000/07/01


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Management of Flap Striae

Petra von Kulajta; Walter J. Stark; Terrence P. O'Brien

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Excerpt

Laser-assisted in situ keratomileusis (LASIK) offers some short-term advantages over surface photorefractive keratectomy (PRK). LASIK patients have less discomfort, quicker visual rehabilitation, and decreased risk of haze, especially in higher myopes and hyperopes, as compared to those who undergo PRK. 1–8 However, the LASIK procedure has its own set of potential complications, including those related to the creation of a corneal lamellar flap.
Striae in the flap are a potential complication of LASIK. Maloney (personal communication) has created a classification of two types of striae. Macrostriae are the result of dislocation of the flap; they are often seen as multiple, parallel, straight lines with retroillumination and are typically visually significant. Microstriae are related to the flap settling, not slipping; these are often not visually significant.
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