caa a22 4500 445298308 CHVBK 20180317142548.0 cr unu---uuuuu 170323e20100501xx s 000 0 eng 10.1007/s12013-010-9082-3 doi (NATIONALLICENCE)springer-10.1007/s12013-010-9082-3 Flap Removal or Flap Preservation During LASEK Surgery [Elektronische Daten] [Xiang-Qiong Liu, Li Xu, Cun-Jian Yi] The objective of this study was to evaluate the effectiveness of corneal epithelial flap removal or flap preservation during LASEK operation on myopia and to determine whether there was any accrual of benefit in either approach. From March 2006 to March 2008, some 582 patients (1,164 eyes) who presented with myopia and myopic astigmatism were treated with corrective LASEK operations. They were divided into two groups: one group underwent corneal flap-preservation while the other had the corneal flap removed. Each group comprised 582 eyes, and the data accumulated were retrospectively analyzed. Each patient was examined after 1, 3, 5, and 7days; 2weeks; and 1, 2, 3, 6, and 12months after LASEK surgery to determine their post-operative visual acuity and check for complications. All eyes achieved pre-operative corrected vision 16weeks after LASEK surgery, with no difference being observed between the two groups. However, there was a significant difference in the ophthalmalgia observed 3days after LASEK surgery, with the flap-removal group experiencing less post-operative pain than those who had the corneal flap preserved. Furthermore, by 3days post-operation, the observed corneal epithelial healing was significantly different: again the eyes of those who had the corneal flap removed having a faster recovery than those belonging to the corneal preservation group. In conclusion, the patients who had a flap-removal LASEK operation recorded faster recovery and suffered less ophthalmalgia, but there was no significant difference in the overall outcome in terms of post-operative optimally corrected vision or complications such as haze formation. Springer Science+Business Media, LLC, 2010 LASEK nationallicence Corneal epithelial flap nationallicence Myopia nationallicence Liu Xiang-Qiong Department of Laser Ophthalmology, The First Affiliated Hospital of Yangtze University, 434000, Jing Zhou, Hubei Province, China aut Xu Li Department of Laser Ophthalmology, The First Affiliated Hospital of Yangtze University, 434000, Jing Zhou, Hubei Province, China aut Yi Cun-Jian Department of Laser Ophthalmology, The First Affiliated Hospital of Yangtze University, 434000, Jing Zhou, Hubei Province, China aut Cell Biochemistry and Biophysics Humana Press Inc 57/1(2010-05-01), 45-48 1085-9195 57:1<45 2010 57 12013 https://doi.org/10.1007/s12013-010-9082-3 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12013-010-9082-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Liu Xiang-Qiong Department of Laser Ophthalmology, The First Affiliated Hospital of Yangtze University, 434000, Jing Zhou, Hubei Province, China aut NATIONALLICENCE 700 1- Xu Li Department of Laser Ophthalmology, The First Affiliated Hospital of Yangtze University, 434000, Jing Zhou, Hubei Province, China aut NATIONALLICENCE 700 1- Yi Cun-Jian Department of Laser Ophthalmology, The First Affiliated Hospital of Yangtze University, 434000, Jing Zhou, Hubei Province, China aut NATIONALLICENCE 773 0- Cell Biochemistry and Biophysics Humana Press Inc 57/1(2010-05-01), 45-48 1085-9195 57:1<45 2010 57 12013 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer