gms | German Medical Science

102. Jahrestagung der DOG

Deutsche Ophthalmologische Gesellschaft e. V.

23. bis 26.09.2004, Berlin

Management of complications after refractive surgery

Meeting Abstract

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  • corresponding author M. Kohlhaas - Universitäts-Augenklinik, Carl Gustav Carus, Dresden

Evidenzbasierte Medizin - Anspruch und Wirklichkeit. 102. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft. Berlin, 23.-26.09.2004. Düsseldorf, Köln: German Medical Science; 2004. Doc04dogFR.08.08

The electronic version of this article is the complete one and can be found online at:

Published: September 22, 2004

© 2004 Kohlhaas.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



The incidence of complications after corneal refractive surgery (keratotomies and Excimer-laser) are between 0.5% to 2%. Using modern microkeratomes of the newest generation cutting problems (except epithelial defects) are almost not seen anymore. The most important complications like epithelial ingrowth, striae and folds and diffuse lamellar keratitis are demonstrated and discussed. Reoperations (most of the cases because of an undercorrection) should be performed with wavefront guided systems. Keratectasias should be recognized early and treated immidiarely by collagen cross-linking using riboflavin and UV-light.

Complications after phacic lens implantation are endothelial cell loss, pupil ovalisation, anterior synechia, secondary glaucoma and anterior subcapsular cataract. All of these are discussed