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    Staying calm while navigating through LASIK complications

     

    Talking herself through the situation, Dr. Sood observed that the case could have a good outcome because the patient was a low myope with a small optical zone and there was a large raster pattern.

    She decided to proceed, but as she prepared to lift the flap, instead of starting at the site she normally does, Dr. Sood began the lift at the opposite side where she knew there was no problem with the sidecut. As she slowly and deliberately worked to lift the flap, she encountered areas where it was not opening easily.

    “I continued with the lift while telling myself that if I am unable to open the flap, I can lay it back down, wait 2 weeks, and bring the patient back to do an advanced surface ablation,” she said.

    It turned out that Dr. Sood was able to lift the flap almost completely, and the one very small area where it was incomplete was dissected with a Vaness scissors.

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