Abstract
Good acuity plus photosensitivity (GAPP) syndrome is a relatively new syndrome that has been seen with the introduction of the femtosecond laser for creating LASIK flaps. It has also been called transient light-sensitivity syndrome. This syndrome typically presents 2–6 weeks following LASIK with the femtosecond laser and involves extreme light sensitivity despite a completely normal slit-lamp exam (no dryness, injection, cell, flare, infiltrates, striae, epithelial ingrowth) and excellent visual acuity. The rate of GAPP can range from 0.2 to 1.3 % and is more common when higher femtosecond laser energy levels are used to create the LASIK flap [1, 2]. The light sensitivity can be incapacitating to the patient and can make for a very unhappy patient.
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References
Stonecipher KG, Dishler JG, Ignacio TS, Binder PS (2006) Transient light sensitivity after femtosecond laser flap creation: clinical findings and management. J Cataract Refract Surg 32:91–94
Haft P, Yoo SH, Kymionis GD, Ide T, O’Brien TP, Culbertson WW (2009) Complications of LASIK flaps made by the IntraLase 15- and 30-kHz femtosecond lasers. J Refract Surg 25:979–984
Muñoz G, Albarrán-Diego C, Sakla HF, Javaloy J, Alió JL (2006) Transient light-sensitivity syndrome after laser in situ keratomileusis with the femtosecond laser Incidence and prevention. J Cataract Refract Surg 32:2075–2079
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Weisberg, M. (2015). GAPP Syndrome. In: Alió, J., Azar, D., Abbouda, A., Aswad, A. (eds) Difficult and Complicated Cases in Refractive Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55238-0_36
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DOI: https://doi.org/10.1007/978-3-642-55238-0_36
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