Avaliação de lâminas cirúrgicas reutilizadas no LASIK pela microscopia eletrônica de varredura

• Autor(a) principal: Soares, Francisco Seixas
• Data de Publicação: 2006
• Outros Autores: Casanova, Fabio Henrique [UNIFESP], Campos, Mauro Silveira de Queiroz [UNIFESP], Nishiwaki-Dantas, Maria Cristina [UNIFESP], Dantas, Paulo Elias Correa
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• dARK ID: ark:/48912/001300000zwbb
• Texto Completo: http://dx.doi.org/10.1590/S0004-27492006000600012; http://repositorio.unifesp.br/handle/11600/3428
• topic: Keratomileusis, laser in situ; Laser surgery; Postoperative complications; Inflammation; Ceratomileuse assistida por excimer laser in situ; Cirurgia a laser; Complicações pós-operatórias; Inflamação

PURPOSE: To evaluate and compare, by scanning electron microscopy (SEM), the sharpness of the edge of brand new surgical blades and consecutively used surgical blades in laser-assisted in situ keratomileusis (LASIK). METHODS: Tewnty-five AccuGlide® (Bausch & Lomb, USA) surgical blades were evaluated, divided in to 3 groups: Group 1 (control), non-used surgical blades; Group 2, ten surgical blades used twice (simultaneous bilateral procedure); Group 3, ten surgical blades used four times (two consecutive simultaneous bilateral procedures). Each blade was analyzed by SEM at four random points, two central and two peripheral points, with magnification of 50x, 350x, and 1,000x. RESULTS: Blade body irregularities and organic material were observed on all used surgical blades (Groups 2 and 3), but not on new surgical blades (Group 1). In addition, Group 3 revealed more irregularities in both central (p=0.0094) and peripheral points (p=0.0098) than Group 2, as well as organic material deposition (p=0.0204 and p=0.0909, respectively). Neither metalic material nor irregularities in the cutting edge of the blade were observed in any group. CONCLUSION: No difference regarding the cutting edge was observed between new and blades reused up to four times, however irregularities and organic material were observed in all reused blades. Reusing blades for LASIK may produce structural changes and its clinical implications need to be evaluated due to the possible relation with interlamellar postoperative complications.