Skip to main content

Advertisement

SpringerLink
Log in

Visante® anterior segment OCT in a patient with gas bubbles in the anterior chamber after femtosecond laser corneal flap formation

  • Case report
  • Published:
International Ophthalmology Aims and scope Submit manuscript

Abstract

A patient with anterior chamber gas bubbles after LASIK flap formation with femtosecond laser is presented. A 33-year-old male patient had LASIK for myopia with corneal flap formation with IntraLase® FS30 femtosecond laser. In the right eye, air bubbles were observed in anterior chamber after successful flap formation. Laser correction was completed successfully, by Wavelight® Allegretto WaveTM Eye-Q excimer laser, without eye-tracker. Visante® anterior segment optical coherence tomography imaging displayed that the pocket extended to limbal area, with stromal bed thickness of >600 μm at that area. We propose as possible causes of the air bubbles scattering of femtosecond laser beam producing direct photodissociation of aqueous humor, or direct cavitation effect in aqueous humor due to rapid pressure changes in corneal lamellar interface during the femtosecond laser procedure. Other causes such as migration of intrastromal bubbles through peripheral corneal stroma and trabecular meshwork, or through posterior stroma and endothelium, seem to be unlikely

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

References

  1. Lifshitz T, Levy J, Klemperer I et al (2005) Anterior chamber gas bubbles after corneal flap creation with a femtosecond laser. J Cataract Refract Surg 31:2227–2229. doi:10.1016/j.jcrs.2004.12.069

    Article  PubMed  Google Scholar 

  2. Srinivasan S, Rootman D (2007) Anterior chamber gas bubble formation during femtosecond laser flap creation for LASIK. J Refract Surg 23(8):828–830

    PubMed  Google Scholar 

  3. Lubatschowski H, Maatz G, Heisterkamp A et al (2000) Application of ultrashort laser pulses for intrastromal refractive surgery. Graefes Arch Clin Exp Ophthalmol 238:33–39. doi:10.1007/s004170050006

    Article  CAS  PubMed  Google Scholar 

  4. Sugar A (2002) Ultrafast (femtosecond) laser refractive surgery. Curr Opin Ophthalmol 13:246–249. doi:10.1097/00055735-200208000-00011

    Article  PubMed  Google Scholar 

  5. Anwar M, Teichmann KD (2002) Big bubble technique to bare the Descemet’s membrane in anterior lamellar keratoplasty. J Cataract Refract Surg 28:398–403. doi:10.1016/S0886-3350(01)01181-6

    Article  PubMed  Google Scholar 

  6. Radner W, Zehetmayer M, Aufreiter R et al (1998) Interlacing and cross-angle distribution of collagen lamellae in the human cornea. Cornea 17(5):537–543. doi:10.1097/00003226-199809000-00012

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Yeditepe Universitesi Goz Hastanesi, Sakir Kesebir sokak No:21, Besiktas Balmumcu, 34349, Istanbul, Turkey

    Canan Asli Utine, Muhsin Altunsoy & Demir Basar

Authors
  1. Canan Asli Utine
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Muhsin Altunsoy
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Demir Basar
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Canan Asli Utine.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Utine, C.A., Altunsoy, M. & Basar, D. Visante® anterior segment OCT in a patient with gas bubbles in the anterior chamber after femtosecond laser corneal flap formation. Int Ophthalmol 30, 81–84 (2010). https://doi.org/10.1007/s10792-008-9276-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10792-008-9276-5

Keywords

Search

Navigation