By Terrence P O'Brien MD
    Refractive Mgmt/Intervention

    VIDEO CASE: A 37-year-old male underwent femtosecond LASIK in both eyes for compound myopic astigmatism. In the left eye, significant squeezing and Bell phenomenon during creation of the flap resulted in loss of suction during side cut, resulting in an inferior, decentered, and incomplete flap with subconjunctival hemorrhage along the corneal limbus. Treatment was aborted without lifting the flap. One week later, with IntraLase setting for deeper and larger diameter, the flap was created and ablation was carried cut successfully. A second pass with larger and deeper settings can avoid a serious flap complication and allow successful excimer laser photoablation for vision correction.