Abstract
Flap striae can reduce corrected distance visual acuity (CDVA). When recognized and treated immediately, striae generally can be reduced to a level that is clinically insignificant. However, when the striae have been present for months, they are established and difficult to treat. The irregular collagen becomes fixed in position. When striae have been present for a month or more, direct treatment of the elevations of the striae is needed to reduce the optical impact of the striae.
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Steinert RF, Ashrafzadeh A, Hersh PS (2004) Results of phototherapeutic keratectomy in the management of flap striae after LASIK. Ophthalmology 111:740–746
Ashrafzadeh A, Steinert RF (2007) Results of phototherapeutic keratectomy in the management of flap striae after LASIK before and after developing a standardized protocol: long term follow-up in an expanded patient population. Ophthalmology 114:1118–1123
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Video 54.1
Edited video shows the method of PTK for chronic striae, using the VISX laser (MP4 3510 kb)
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Steinert, R.F. (2015). Other Complications: Late Flap Striae. 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_54
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DOI: https://doi.org/10.1007/978-3-642-55238-0_54
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