In the superior hinge technique, the continual normal movement of the upper eyelid helps keep the flap in position and actually helps smooth it completely. Moreover, the gravitational forces will tend to position the flap in the best position for healing. In the superior hinge technique, the up and down movement of the upper eyelid associated with its compression effect will encourage the distention and centering of the lamella even if it is slightly decentered temporally or nasally. It would appear that the best visual acuity is reached more rapidly to the satisfaction of both the patient and the surgeon alike. Reduced foreign body sensation Postop sensation of foreign body is reduced.
Postop enhancement is facilitated.
In the down-up technique, repositioning is easier and healing is faster, but above all the irritating foreign body sensation induced is less because the upper portion of the cornea remains intact. Ocular Surgery News Vol.