Abstract

<br>A 20-year-old male with no previous history of systemic or mental illness underwent femtosecond laser-assisted<i> in situ </i>keratomileusis (LASIK) in both eyes. A suction loss was experienced during surgery in the left eye. Repeat docking was performed, and subsequent surgery was uneventful. In the postoperative period, the uncorrected distance visual acuity (UDVA) was 20/20 in both eyes; however, the patient developed behavioral changes and acute psychotic symptoms, which subsided with anti-psychotics over 3 weeks. Acute psychosis following ocular surgeries is rare; however, a strong suspicion should be kept if any behavioral changes are noted in the postoperative period. Timely psychiatric referral and adequate management are essential to achieve optimal outcomes.<br>

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