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Incidence of rainbow glare after laser in situ keratomileusis flap creation with a 60 kHz femtosecond laser.

Abstract To report the incidence of and factors associated with rainbow glare after laser in situ keratomileusis (LASIK) flap creation with a 60 kHz femtosecond laser.
PMID
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Authors

Mayor MeshTerms

Glare

Surgical Flaps

Keywords
Journal Title journal of cataract and refractive surgery
Publication Year Start




PMID- 19465295
OWN - NLM
STAT- MEDLINE
DCOM- 20090814
LR  - 20151119
IS  - 1873-4502 (Electronic)
IS  - 0886-3350 (Linking)
VI  - 35
IP  - 6
DP  - 2009 Jun
TI  - Incidence of rainbow glare after laser in situ keratomileusis flap creation with 
      a 60 kHz femtosecond laser.
PG  - 1082-6
LID - 10.1016/j.jcrs.2009.01.026 [doi]
AB  - PURPOSE: To report the incidence of and factors associated with rainbow glare
      after laser in situ keratomileusis (LASIK) flap creation with a 60 kHz
      femtosecond laser. SETTING: Department of Refractive Surgery, Cleveland Clinic
      Cole Eye Institute, Cleveland, Ohio, USA. METHODS: Consecutive patients having
      LASIK by the same surgeon were questioned during postoperative examinations or by
      telephone about postoperative rainbow glare (radiating colors around a white
      light at night). Femtosecond laser (IntraLase) settings included pulse frequency 
      60 kHz, flap thickness 90 to 110 mum, and spot/line separation 8 mum. Raster
      energy was 0.8 microJ (75% of eyes) and 1.0 to 1.1 microJ (25%). Excimer laser
      ablation was performed with the LADAR 4000 or 6000 platform using custom or
      conventional treatments. RESULTS: Of 260 consecutive patients, 256 (98.5%) were
      successfully contacted. Fifteen patients (28 eyes) reported postoperative rainbow
      glare (5.8%), described as 4 to 12 bands of color around a white light, with 6
      bands most common. The symptom did not correlate with refractive error, age, or
      sex but was more frequent at 1.0 microJ or 1.1 microJ raster energy (11.6%) than 
      at 0.8 microJ (4.1%). The incidence followed a bimodal distribution, with the
      first grouping due to inadequate alignment and higher energy just after laser
      installation and the second just before a later maintenance service call.
      CONCLUSION: Rainbow glare is a mild optical side effect of femtosecond LASIK. In 
      this study, higher raster energy levels and length of time between service calls 
      were associated with the occurrence of rainbow glare.
FAU - Bamba, Sonya
AU  - Bamba S
AD  - Department of Refractive Surgery, Cole Eye Institute, Cleveland Clinic,
      Cleveland, Ohio 44195, USA.
FAU - Rocha, Karolinne M
AU  - Rocha KM
FAU - Ramos-Esteban, Jerome C
AU  - Ramos-Esteban JC
FAU - Krueger, Ronald R
AU  - Krueger RR
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Cataract Refract Surg
JT  - Journal of cataract and refractive surgery
JID - 8604171
SB  - IM
MH  - Corneal Stroma/surgery
MH  - *Glare
MH  - Humans
MH  - Incidence
MH  - Keratomileusis, Laser In Situ/*adverse effects
MH  - Lasers, Excimer/*adverse effects
MH  - Myopia/surgery
MH  - *Surgical Flaps
MH  - Surveys and Questionnaires
MH  - Vision Disorders/epidemiology/*etiology
EDAT- 2009/05/26 09:00
MHDA- 2009/08/15 09:00
CRDT- 2009/05/26 09:00
PHST- 2008/12/26 00:00 [received]
PHST- 2009/01/27 00:00 [revised]
PHST- 2009/01/30 00:00 [accepted]
PHST- 2009/05/26 09:00 [entrez]
PHST- 2009/05/26 09:00 [pubmed]
PHST- 2009/08/15 09:00 [medline]
AID - S0886-3350(09)00250-8 [pii]
AID - 10.1016/j.jcrs.2009.01.026 [doi]
PST - ppublish
SO  - J Cataract Refract Surg. 2009 Jun;35(6):1082-6. doi: 10.1016/j.jcrs.2009.01.026.