1. Corneal Epithelial Healing After LASIK Surgery
Category: P5 Refractive
Corneal Epithelial Healing After LASIK Surgery
Yousuf Khalifa, MD
Tracie Sponseller, OD
David Bogorad, MD

2. Introduction
LASIK flap creation and stromal ablation elicit healing responses in the corneal epithelium and stroma
Physiology of corneal stroma healing after LASIK surgery has been described
Corneal epithelial wound healing after LASIK surgery has not been reported previously to our knowledge
Insights into the factors involved in corneal epithelium healing can be drawn from LASIK surgery

3. Methods 65 consecutive LASIK surgery patients were included
LASIK flaps created with the Moria M2 microkeratome, with Moria disposable heads, using published nomograms
Alcon Ladarvision 4000 platform used
Conventional, Custom, Myopic, and Hyperopic corrections included
Prednisolone Acetate 1% and Vigamox were prescribed tid along with Systane qid + prn
Patients evaluated at postoperative day 1 with fluorescein staining to assess number of clock hours healed

4. Methods
Patient age, sex, treatment refraction, microkeratome suction ring and flap thickness, ablation depth, time of LASIK, elapsed time from surgery, number of stained clock hours entered into Excel spreadsheet
SAS version 9.1 was used for all analyses and statistical significance was assessed at the 5% level

5. Results

6. Results

7. Results
A Bland-Altman plot illustrates that the majority of the eyes within each subject are within the limits of agreement. Thus, the measurement of clock hours is in agreement for the two eyes within each subject and that healing did not differ between the eyes.

8. Results

9. Results

10. Results

11. Discussion
LASIK surgery is an ideal model to study human epithelial wound healing
Our results show that suction ring size, flap thickness, ablation depth have no correlation with epithelial healing
Fluorescein staining is a simple, safe, clinically accepted means of assessing epithelial integrity
Our study lays the foundation for future studies looking at factors that influence epithelial healing
Postoperative Day 1 is an excellent window to assess the epithelial healing because of the range of healed clock hours. In our study the elapsed time from surgery ranged from 16 to 26 hours.

12. Discussion OD and OS healing rates are consistent within each patient
Using the same blade on the OS after the OD does not affect epithelial healing
Between 16 and 26 hours after LASIK surgery the epithelial healing varies; but the further out from surgery, the more likely to have more healed clock hours
Age did not closely correlate
Smoking status did not correlate
This study is likely underpowered to determine the effects of smoking