ReviewDiagnostics (Basel, Switzerland)2021
Flap Thickness and the Risk of Complications in Mechanical Microkeratome and Femtosecond Laser In Situ Keratomileusis: A Literature Review and Statistical Analysis.
Review in Diagnostics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed.
- Comparison of visual quality and optical zones after TransPRK, SMILE, and FS-LASIK myopia correction procedures.BMC ophthalmology · 2025Trial
- Comparative analysis of subjective and objective visual quality after LASEK, FS-LASIK, and TransPRK.Lasers in medical science · 2026Article
- Clinical and Wavefront Outcomes After Femtosecond Laser Versus Mechanical Microkeratome Lasik: A Prospective Paired-Eye Comparative Study.Bioengineering (Basel, Switzerland) · 2026Article
- Impact of Flap Thickness on Refractive Outcomes and Corneal Biomechanics Following Myopic Femtosecond Laser-Assisted LASIK.Journal of clinical medicine · 2026Article
- Slow granular corneal dystrophy type 2 exacerbation after SMILE: a bilateral asymmetric case resembling a unique previous unilateral case.International journal of ophthalmology · 2026Article
- Flap amputation for severe epithelial ingrowth post-LASIK: a case report.International journal of ophthalmology · 2026Article
- Comparison of risk factors for OBL in FS-LASIK and SMILE correction for myopia and myopia astigmatism.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024Article
- Corneal foreign body post laser in-situ keratomileusis: Diagnosis, management, outcome and review of literature.American journal of ophthalmology case reports · 2024Article
- VisuMax Flap 2.0: a flap plus technique to reduce incidence of an opaque bubble layer in femtosecond laser-assisted LASIK.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2023Article
- Femtosecond laser applications in corneal surgery.Taiwan journal of ophthalmologyReview
- Adverse Events of Femtosecond-Assisted Laser-AssistedJournal of current ophthalmologyArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionA recent Cochrane review found no difference in visual acuity outcomes between femtosecond-assisted laser in situ keratomileusis (LASIK) and LASIK using mechanical microkeratomes (MMKs). This study compares the flap thickness and risk of complications related to flap creation using femtosecond lasers and MMKs.
methodsPubMed and the Web of Science are used to search the medical literature. An extensive search is performed to identify the flap thickness and complications of LASIK as reported up to 15 July 2021. The following keywords are used in various combinations: Corneal flap, femtosecond laser, laser in situ keratomileusis, laser-assisted in situ keratomileusis, LASIK, mechanical microkeratome.
resultsAfter removing duplicates and irrelevant studies, 122 articles were included for review. Pooled differences for intended vs. postoperative flap thickness using MMKs and femtosecond laser were -4.07 μm (95% CI: -19.55, 3.24 μm) in studies on the MMK and 5.43 μm (95% CI: 2.30, 7.84 μm;
conclusionIn both manual microkeratome and femtosecond LASIK, intra- and postoperative complications were uncommon. The evidence of the superiority of one technique in terms of complications over another cannot be indisputably stated.
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