Minimizing the risk of recutting with a Hansatome over an existing Automated Corneal Shaper flap for hyperopic laser in situ keratomileusis enhancement

We report a case series of 4 eyes to discuss the intraoperative complicatio ns of recutting a laser in situ keratomileusis (LASIK) flap with a Hansatom e microkeratome over an existing 160 mum Automated Corneal Shaper flap for the retreatment of hyperopia, In the eyes that were recut, slivers of strom a were apparent on reflection of the flap; the slivers were located central ly in the 180 mum eye and peripherally in the 160 mum eyes, Recutting a fla p for LASIK retreatment runs the risk of visually significant stromal irreg ularities, J Cataract Refract Surg 2001; 27:1328-1332 (C) 2001 ASCPS and ES CRS.