AIM： To evaluate the efficacy and safety of laser-assisted subepithelial keratectomy （LASIK） for myopic correction done under thin flaps（120μm） and compare with results obtained under thick flaps（150μm）.METH...AIM： To evaluate the efficacy and safety of laser-assisted subepithelial keratectomy （LASIK） for myopic correction done under thin flaps（120μm） and compare with results obtained under thick flaps（150μm）.METHODS： The study included 150 myopic eyes of 75 patients without previous refractive surgery who underwent LASIK prospectively. Two microkeratome heads （90 and 130） were used to created a flap with thickness of 120μm and 150μm,respectively. Thin flap group（120μm） included 75 eyes while thick flap group included 75 eyes. Follow-up period was 12 mo. Efficacy,l safety, and stability were evaluated and compared between the two groups.RESULTS： In 150 eyes,the mean preoperative spherical equivalent refraction was -8.65±2.6D,mean sphere was -4.4±3.5D, and mean cylinder was -1.0±1.3D. THe amount of ablation was significantly larger in the thin flap （88.5±32.21μm） group than in the thick flap group （64±28.13μm）.Percentage of safety was higher in the thin flap group（94.8%） than in the thick flap group（91.7%）. There were no intraoperative complications, especially flap-related problems. Subjective symptoms of dry eye occurred in 20.7% and 33.3% of eyes in the thin and thick flap groups, respectively. CONCLUSION： Thin-flap LASIK is effective and safe in correcting myopic defects. It achivevs better visual results, rapid visual recovery, and stable postoperative refraction than LASIK with thick flaps.展开更多
We report our experience with two cases of anterolateral thigh flaps based on the musculocutaneous perforators arising from a more distal part of the descending branch than in the conventional anterolateral thigh flap...We report our experience with two cases of anterolateral thigh flaps based on the musculocutaneous perforators arising from a more distal part of the descending branch than in the conventional anterolateral thigh flap. Case 1: A 53-year-old man with a skin ulcer over the anterior surface of the left tibia secondary to plate fixation for an open fracture. The perforator marked with preoperative Doppler was located 8 cm proximal to the superior border of the patella. Without thinning, the flap was 10 × 4 cm in size and 5 mm thick. Case 2: A 46-year-old man with necrosis of the right index finger after replantation. The flap was 5 × 3 cm in size and 3 mm in thickness. This “distal” anterolateral thigh flap can be raised as a quite thin flap with a long pedicle and, therefore, is considered useful in the reconstruction of various soft tissue defects.展开更多
文摘AIM： To evaluate the efficacy and safety of laser-assisted subepithelial keratectomy （LASIK） for myopic correction done under thin flaps（120μm） and compare with results obtained under thick flaps（150μm）.METHODS： The study included 150 myopic eyes of 75 patients without previous refractive surgery who underwent LASIK prospectively. Two microkeratome heads （90 and 130） were used to created a flap with thickness of 120μm and 150μm,respectively. Thin flap group（120μm） included 75 eyes while thick flap group included 75 eyes. Follow-up period was 12 mo. Efficacy,l safety, and stability were evaluated and compared between the two groups.RESULTS： In 150 eyes,the mean preoperative spherical equivalent refraction was -8.65±2.6D,mean sphere was -4.4±3.5D, and mean cylinder was -1.0±1.3D. THe amount of ablation was significantly larger in the thin flap （88.5±32.21μm） group than in the thick flap group （64±28.13μm）.Percentage of safety was higher in the thin flap group（94.8%） than in the thick flap group（91.7%）. There were no intraoperative complications, especially flap-related problems. Subjective symptoms of dry eye occurred in 20.7% and 33.3% of eyes in the thin and thick flap groups, respectively. CONCLUSION： Thin-flap LASIK is effective and safe in correcting myopic defects. It achivevs better visual results, rapid visual recovery, and stable postoperative refraction than LASIK with thick flaps.
文摘We report our experience with two cases of anterolateral thigh flaps based on the musculocutaneous perforators arising from a more distal part of the descending branch than in the conventional anterolateral thigh flap. Case 1: A 53-year-old man with a skin ulcer over the anterior surface of the left tibia secondary to plate fixation for an open fracture. The perforator marked with preoperative Doppler was located 8 cm proximal to the superior border of the patella. Without thinning, the flap was 10 × 4 cm in size and 5 mm thick. Case 2: A 46-year-old man with necrosis of the right index finger after replantation. The flap was 5 × 3 cm in size and 3 mm in thickness. This “distal” anterolateral thigh flap can be raised as a quite thin flap with a long pedicle and, therefore, is considered useful in the reconstruction of various soft tissue defects.
