TY - JOUR
T1 - Wiping microkeratome blades with sterile 100% alcohol to prevent diffuse lamellar keratitis after laser in situ keratomileusis
AU - Levinger, Samuel
AU - Landau, David
AU - Kremer, Israel
AU - Merin, Saul
AU - Aizenman, Isaac
AU - Hirsch, Ami
AU - Douieb, Joseph
AU - Bos, Teunis
PY - 2003/10
Y1 - 2003/10
N2 - Purpose: To report our experience in preventing diffuse lamellar keratitis (DLK) after laser in situ keratomileusis (LASIK) by wiping the microkeratome blade with sterile 100% alcohol. Setting: Enaim Refractive Surgery Center, Jerusalem, Israel. Methods: Laser in situ keratomileusis was performed in 24 patients (48 eyes) on the same day by the same surgeon. The environment and instruments were identical in all cases. A new blade was used in both eyes of each patient. All blades were from the same batch and were randomly assigned to 2 groups. In the alcohol group, 12 blades were wiped with a Merocel® surgical spear (Medtronic Solan) dipped in 100% alcohol and rinsed with balanced salt solution (BSS®) before they were mounted in a Hansatome® microkeratome (Bausch & Lomb Co.); in the control group, 12 blades were wiped with a Merocel surgical spear dipped in BSS and rinsed with BSS. All patients were examined on the first postoperative day. Results: Grade I to II DLK was diagnosed in 7 eyes of 4 patients in the control group (29%). No DLK was diagnosed in the alcohol group. Conclusion: Wiping the microkeratome blade with 100% alcohol before mounting may remove a substance from the manufacturing or sterilization process that can cause DLK.
AB - Purpose: To report our experience in preventing diffuse lamellar keratitis (DLK) after laser in situ keratomileusis (LASIK) by wiping the microkeratome blade with sterile 100% alcohol. Setting: Enaim Refractive Surgery Center, Jerusalem, Israel. Methods: Laser in situ keratomileusis was performed in 24 patients (48 eyes) on the same day by the same surgeon. The environment and instruments were identical in all cases. A new blade was used in both eyes of each patient. All blades were from the same batch and were randomly assigned to 2 groups. In the alcohol group, 12 blades were wiped with a Merocel® surgical spear (Medtronic Solan) dipped in 100% alcohol and rinsed with balanced salt solution (BSS®) before they were mounted in a Hansatome® microkeratome (Bausch & Lomb Co.); in the control group, 12 blades were wiped with a Merocel surgical spear dipped in BSS and rinsed with BSS. All patients were examined on the first postoperative day. Results: Grade I to II DLK was diagnosed in 7 eyes of 4 patients in the control group (29%). No DLK was diagnosed in the alcohol group. Conclusion: Wiping the microkeratome blade with 100% alcohol before mounting may remove a substance from the manufacturing or sterilization process that can cause DLK.
UR - http://www.scopus.com/inward/record.url?scp=0242574920&partnerID=8YFLogxK
U2 - 10.1016/j.jcrs.2003.07.001
DO - 10.1016/j.jcrs.2003.07.001
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AN - SCOPUS:0242574920
VL - 29
SP - 1947
EP - 1949
JO - Journal of Cataract and Refractive Surgery
JF - Journal of Cataract and Refractive Surgery
SN - 0886-3350
IS - 10
ER -