Experience during the learning curve of laser in situ keratomileusis

H. V. Gimbel*, S. Basti, G. B. Kaye, M. Ferensowicz

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

116 Scopus citations


Purpose: To identify pitfalls and offer hints on achieving a successful outcome during the early laser in situ keratomileusis (LASIK) learning process. Setting: Gimbel Eye Centre, Calgary, Alberta, Canada. Methods: This was a retrospective review of the preoperative planning, surgical procedure, intraoperative and postoperative problems, and early postoperative anatomic and refractive results in the first 73 eyes that had LASIK. Results: Intraoperative complications included failure of the keratome to make a cut, excessively thin cap, repositioning difficulty, and inadequate intraocular pressure elevation. Early postoperative complications included excessive central and peripheral wrinkling of the cap, peripheral lipid deposits, and central edema of the cap. One month postoperatively, mean spherical equivalent refraction was -0.90 diopters (D) (range +1.75 to -6.00 D), and 45 eyes had a best corrected visual acuity between 20/15 and 20/40. Conclusion: Our retrospective review of the problems experienced during the early LASIK learning process should help novice lamellar refractive surgeons avoid such problems and shorten the learning curve.

Original languageEnglish (US)
Pages (from-to)542-550
Number of pages9
JournalJournal of cataract and refractive surgery
Issue number5
StatePublished - 1996

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology
  • Sensory Systems


Dive into the research topics of 'Experience during the learning curve of laser in situ keratomileusis'. Together they form a unique fingerprint.

Cite this