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Management of cap striae following challenging small incision lenticule extraction surgery - A case report.


ABSTRACT: A 24-year-old female underwent small incision lenticule extraction (SMILE) for myopic astigmatism OU. In the left eye, cap-lenticular adhesion along with tearing of the cap occurred, resulting in a gaped incision and transverse striae involving the visual axis on the first post op day. Uncorrected distance visual acuity (UDVA) was 20/32. The case was managed with interface wash and stretching of the cap, in order to iron out the striae. Post intervention, the UDVA improved to 20/20, striae resolved, and interface remained clear through a follow-up of nine months, suggesting that cap striae in SMILE may be similarly managed as the flap striae in laser-assisted in situ keratomileusis (LASIK), resulting in satisfactory visual outcomes.

SUBMITTER: Ganesh S 

PROVIDER: S-EPMC7856947 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature

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Management of cap striae following challenging small incision lenticule extraction surgery - A case report.

Ganesh Sri S   Ganesh Skanda Sri SS   Gaster Ronald R   Brar Sheetal S  

Indian journal of ophthalmology 20201201 12


A 24-year-old female underwent small incision lenticule extraction (SMILE) for myopic astigmatism OU. In the left eye, cap-lenticular adhesion along with tearing of the cap occurred, resulting in a gaped incision and transverse striae involving the visual axis on the first post op day. Uncorrected distance visual acuity (UDVA) was 20/32. The case was managed with interface wash and stretching of the cap, in order to iron out the striae. Post intervention, the UDVA improved to 20/20, striae resol  ...[more]

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