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This video superficial scarring at site of cap tear showing side cut extension, excessive surgical manipulation, opaque bubble layer, black spots, difficult lenticule dissection and cap-lenticular adhesion. Preventive measures: avoid forceful lenticule dissection and extraction, instruments (thin, non-bulky and hub should not entangle in side-cut) and surgeon experience) and surgeon experience. Peripheral cap tears do not significantly affect visual outcomes and central tears encroaching visual axis – irregular astigmatism.
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