A microscopy study of the structural features of post-LASIK human corneas.

<h4>Purpose</h4>To study the structural features of human post-LASIK corneas.<h4>Methods</h4>A pair of post-mortem donor corneas, from a 55-year old patient who underwent uncomplicated LASIK surgery five years previously, were bisected and fixed in 4% paraformaldehyde. The ri...

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Main Authors: Mohammad Abahussin, Sally Hayes, Henry Edelhauser, Daniel G Dawson, Keith M Meek
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0063268&type=printable
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author Mohammad Abahussin
Sally Hayes
Henry Edelhauser
Daniel G Dawson
Keith M Meek
author_facet Mohammad Abahussin
Sally Hayes
Henry Edelhauser
Daniel G Dawson
Keith M Meek
author_sort Mohammad Abahussin
collection DOAJ
description <h4>Purpose</h4>To study the structural features of human post-LASIK corneas.<h4>Methods</h4>A pair of post-mortem donor corneas, from a 55-year old patient who underwent uncomplicated LASIK surgery five years previously, were bisected and fixed in 4% paraformaldehyde. The right cornea and one half of the left cornea were processed for light microscopy and scanning electron microscopy. One half of the right cornea was also examined by transmission electron microscopy.<h4>Results</h4>The flap-bed interface could be easily detected several years after LASIK and, although the flap appeared to be in close association with the stromal bed, there was a noticeable absence of reconnection between adjacent severed lamellae. Tissue gaps were evident at the flap margin, which once free of cellular components revealed the presence of a few bridging fibres.<h4>Conclusion</h4>Examination of corneas five years after LASIK revealed evidence of primitive reparative scar development at the wound interface, but no reconnection of severed collagen lamellae. Such findings may explain the occurrence of flap dislocation following trauma in some patients months or years after surgery.
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spelling doaj-art-64e8400e4bcd4399bc539a72b479fa932025-08-20T02:05:32ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-0185e6326810.1371/journal.pone.0063268A microscopy study of the structural features of post-LASIK human corneas.Mohammad AbahussinSally HayesHenry EdelhauserDaniel G DawsonKeith M Meek<h4>Purpose</h4>To study the structural features of human post-LASIK corneas.<h4>Methods</h4>A pair of post-mortem donor corneas, from a 55-year old patient who underwent uncomplicated LASIK surgery five years previously, were bisected and fixed in 4% paraformaldehyde. The right cornea and one half of the left cornea were processed for light microscopy and scanning electron microscopy. One half of the right cornea was also examined by transmission electron microscopy.<h4>Results</h4>The flap-bed interface could be easily detected several years after LASIK and, although the flap appeared to be in close association with the stromal bed, there was a noticeable absence of reconnection between adjacent severed lamellae. Tissue gaps were evident at the flap margin, which once free of cellular components revealed the presence of a few bridging fibres.<h4>Conclusion</h4>Examination of corneas five years after LASIK revealed evidence of primitive reparative scar development at the wound interface, but no reconnection of severed collagen lamellae. Such findings may explain the occurrence of flap dislocation following trauma in some patients months or years after surgery.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0063268&type=printable
spellingShingle Mohammad Abahussin
Sally Hayes
Henry Edelhauser
Daniel G Dawson
Keith M Meek
A microscopy study of the structural features of post-LASIK human corneas.
PLoS ONE
title A microscopy study of the structural features of post-LASIK human corneas.
title_full A microscopy study of the structural features of post-LASIK human corneas.
title_fullStr A microscopy study of the structural features of post-LASIK human corneas.
title_full_unstemmed A microscopy study of the structural features of post-LASIK human corneas.
title_short A microscopy study of the structural features of post-LASIK human corneas.
title_sort microscopy study of the structural features of post lasik human corneas
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0063268&type=printable
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