Late-onset Traumatic Dislocation With Central Tissue Loss of Laser In Situ Keratomileusis Flap
- 1 October 2006
- journal article
- case report
- Published by Ovid Technologies (Wolters Kluwer Health) in Cornea
- Vol. 25 (9), 1107-1110
- https://doi.org/10.1097/01.ico.0000225709.77759.da
Abstract
We report the occurrence and outcome of a severe late-onset traumatic dislocation of a laser in situ keratomileusis (LASIK) flap with loss of central flap tissue. Case report. A 40-year-old woman underwent uncomplicated bilateral LASIK surgery, followed 5 years later by an enhancement procedure in both eyes. Ocular trauma with a power sander occurred 6 years after LASIK and 1 year after the enhancement procedure. The flap was found to have an almost complete tear from the nasal hinge and a central tissue defect. After irrigating, repositioning, and stabilizing the flap with 2 nylon sutures, a bandage contact lens was placed. The patient was treated with topical antibiotic and steroid drops. Stage 2 diffuse lamellar keratitis developed, which responded to topical treatment. Ten weeks after injury, the patient regained an uncorrected visual acuity of 20/20-1. Late-onset trauma to the LASIK flap can result in flap dehiscence and tissue loss. Prompt and appropriate management can lead to an excellent visual outcome even in severely traumatized dislocated LASIK flaps.Keywords
This publication has 17 references indexed in Scilit:
- Late-Onset Traumatic Flap Dislocation and Diffuse Lamellar Inflammation After Laser In Situ KeratomileusisCornea, 2002
- Late partial dislocation of a laser in situ keratomileusis flapJournal of Cataract & Refractive Surgery, 2001
- Late traumatic flap dislocation after laser in situ keratomileusisJournal of Cataract & Refractive Surgery, 2001
- Traumatic flap displacement and subsequent diffuse lamellar keratitis after laser in situ keratomileusisJournal of Cataract & Refractive Surgery, 2001
- Late-onset traumatic laser in situ keratomileusis (LASIK) flap dehiscenceAmerican Journal of Ophthalmology, 2001
- Late traumatic dislocation of laser in situ keratomileusis corneal flapsOphthalmology, 2000
- Traumatic partial unfolding of laser in situ keratomileusis flap with severe epithelial ingrowthJournal of Cataract & Refractive Surgery, 2000
- Complications of laser in situ keratomileusis for the correction of myopiaOphthalmology, 1999
- Late Dislocation of a Corneal Cap After Automated Lamellar Keratoplasty and Epithelial Debridement for Retinal SurgeryAmerican Journal of Ophthalmology, 1996
- Lifetime Prevalence of Ocular Injuries From the Baltimore Eye SurveyAmerican Journal of Ophthalmology, 1993