Скачать или смотреть Zeiss Visumax 500 LASIK Flap Black Spots MGD

Patient presented for LASIK for residual mixed astigmatism following remote cataract surgery. Cornea was wiped with merocel sponge prior to docking, but Bell's phenomenon occurred during docking with meibum secretions eventually presenting to corneal surface at 3:00. Secretions not apparent until flap cut when "black spots" of non-photodisruption appeared in area. Flap was unable to be lifted due to lack of photodisruption. Case aborted, was rescheduled for either PRK or larger LASIK flap recut on future date. "Black spots" will not impact visual acuity provided that excessive flap dissection is not attempted in and around the area, which may result in irregular astigmatism.