Abstract
Flaporhexis, a technique to make the femtosecond laser corneal flap was developed primarily to reduce the mechanical trauma associated with separating the corneal tissue by taking advantage of the cornea’s natural anatomy and was first described in a peer reviewed artice in 2008. The anterior part of the cornea tends to be stronger, thereby allowing tearing (Greek “rhexis”) along the preformed cuts of the femtosecond photo disruption. Flaporhexis differs from Binder’s technique of “hinge opening” as published in 2006 by opening the flap from the opposite side. If a femtosecond flap lift is performed correctly, the surgeon will find a virgin, uniform, dry stromal bed, which had not been manipulated by any surgical instrument and is therefore perfect for wavefront guided laser surgery as “Sub-Bowman’s Keratomileusis”.
Highlights
IntroductionA report that used this term flaporhexis for a variation on a LASIK flap relift technique described in 2000 by Jean-Luc Febbraro [2], was published in 2012 [3]
The first description of “flaporhexis” was published in 2008 [1]
A report that used this term flaporhexis for a variation on a LASIK flap relift technique described in 2000 by Jean-Luc Febbraro [2], was published in 2012 [3]. This present article describes the initial concept of flaporhexis, the origin of its name and its advantages and limitations compared with traditional forms of generating the femtosecond laser flap
Summary
A report that used this term flaporhexis for a variation on a LASIK flap relift technique described in 2000 by Jean-Luc Febbraro [2], was published in 2012 [3] This present article describes the initial concept of flaporhexis, the origin of its name and its advantages and limitations compared with traditional forms of generating the femtosecond laser flap. Febbraro does not use this expression in his article, but to the best of my knowledge it is the first description of this technique It has become a colloquial term among refractive surgeons because it provides the idea of reopening a flap in a way similar to that of opening a can. Having understood the etymological migration of words, the pictorial expression of flaporhexis may be transferred to similar ways of making the corneal flap
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