Optimize ocular surface, use AI for successful LASIK outcomes
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CHICAGO — LASIK can be used to address the global burden of refractive error, according to a speaker.
“In the developing world, glasses are crutches — they are not a permanent cure,” Ashiyana Nariani, MD, MPH, PCEO, said at Refractive Surgery Subspecialty Day at the American Academy of Ophthalmology meeting. “There is a global paradigm shift taking place in eye care, whereby refractive surgery is being considered a tool to cure refractive error-related minus vision impairment.”
During a presentation on LASIK pearls, Nariani said artificial intelligence can be used to improve patient outcomes. Additionally, it is imperative for ophthalmologists to optimize the ocular surface before the procedure.
Surgeons should be aware of the risk for the LASIK flap to swell and unswell asymmetrically, which can result in epithelium under the flap or “flap crunch syndrome.”
Nariani said that the LASIK procedure should end at the slit lamp. Taking the patient to the slit lamp immediately after the procedure allows for ironing out of microfolds, detection of corneal foreign bodies in the flap interface and confirmation of flap centration.
“The idea of implementing fluorescein at the slit lamp right after will allow for the appearance of microfolds with the presence of negative staining,” Nariani said. “This will allow for the ability to identify those and address them using a Weck-Cel wipe and prevent the need for additional procedures on postop day 0.”
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Nariani A. Top 5 LASIK pearls. Presented at: American Academy of Ophthalmology meeting; Sept. 30-Oct. 3, 2022; Chicago.
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