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  • I Advice - Managing Lasik Flap Buttonholes

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    s have been compared to tennis balls that would buckle centrally upon appl
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    From all Lasik flap complication, LASIK flap buttonholes are the ones that lead most often to loss of best-corrected visual acuity (BCVA). Why do they happen? Thin, irregular and perforated flaps seem to result from a common etiology; an inadequate coupling of the blade to the cornea. Steep corneas have been compared to tennis balls that would buckle centrally upon appla
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    lead most often to loss of best-corrected visual acuity (BCVA). Why do they happen? Thin, irregular and perforated flaps seem to result from a common etiology; an inadequate coupling of the blade to the cornea. Steep corneas have been compared to tennis balls that would buckle centrally upon appl
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    ey happen? Thin, irregular and perforated flaps seem to result from a common etiology; an inadequate coupling of the blade to the cornea. Steep corneas have been compared to tennis balls that would buckle centrally upon appl
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    n etiology; an inadequate coupling of the blade to the cornea. Steep corneas have been compared to tennis balls that would buckle centrally upon appl
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    s have been compared to tennis balls that would buckle centrally upon applanating pressure. This results in a central dimple missed by the blade leading to a buttonhole. Another theory is that higher keratometric values offer increased resistance to cutting when applanated, leading to upwards movement of the blade.

    The latter is probably more applicable to keratomes

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