Forme Fruste ABMD and Reactive Epithelial Syndrome in LASIK

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Forme fruste anterior basement membrane dystrophy and reactive epithelial syndrome in LASIK continues to be one of the most challenging complications of uncomplicated femtosecond LASIK. In this video, Steve Updegraff, MD, FACS, reviews a recent case that demonstrates features of FFABMD and its management.

Posted: 9/16/2011

Forme Fruste ABMD and Reactive Epithelial Syndrome in LASIK

Forme fruste anterior basement membrane dystrophy and reactive epithelial syndrome in LASIK continues to be one of the most challenging complications of uncomplicated femtosecond LASIK. In this video, Steve Updegraff, MD, FACS, reviews a recent case that demonstrates features of FFABMD and its management.

Posted: 9/16/2011

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Stephen Updegraff

14 years ago

FFABM is poorly understood, rarely reported and under - diagnosed. In 15 years of working with these patients, I have not yet found a age/gender or medications to be a causative role. I believe it is a genetic disorder of the epithelial basement membrane complex. Furthermore, simple epithelial removal does not work - I have use epi removal and gentle polishing with a diamond alger brush to achieve permanent epithelial adhesions which then allow me to lift the flap with predictable retreatments if necessary. I will demonstrate in my next video.

joseph dello russo

14 years ago

FFED is rather common, especially in older females and even in young people with a history of corneal trauma. Any significan loose epi is removed to allow healing from epi with a firm attachment.