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Intraoperative factors leading to a free cap include (1) loss of adequate suction secondary to machine malfunction, kink or ob- struction in the tubing, or handpiece malposition, (2) absence, malposition, or maladjust- Page 448 пManagement of Flap Complications in LASIK 433 Buy online Manforce Manforce of surgery Depends on the Malegra DXT of astigmatism Astigmatism Corneal scarring Photophobia if significant amount of iris is damaged Loss of BCVA Prolonged rehabilitation Loss of BCVA Table 1 Management of Corneal Perforation пTypes Simple corneal perforation Perforation with damage to the iris and lens without vitreous loss Perforation with posterior segment damage including vitreous loss Acute intervention Stop suction ASAP and remove microkeratome carefully Reform the anterior chamber with viscoelastics and suture with 10в0 nylon Stop suction ASAP and remove microkeratome carefully Protect the eye with a plastic shield and transfer the patient to an operating room Reform the anterior chamber with viscoelastics Lens surgery as needed Repair the iris and cornea Stop suction ASAP and remove microkeratome carefully Protect the eye with a plastic shield Transfer the Malegra DXT to an operating room and administer general anesthesia A vitreoretinal surgeon should be available Malegra DXT posterior segment damage renders such needful Anterior vitrectomy followed by reformation of anterior chamber by viscoelastics Repair the iris and cornea Follow-up Monitor wound healing and suture tightness Manage like a globe perforation IOL implantation if deemed safe Aphakic contact lens Vitreoretinal follow-up Long term management Corneal scare management if perforation occurs in visual axis пSecondary scleral- fixated IOL пPrevention 1.

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