Abstract
Purpose:To report a case of post laser in situ keratomileusis (LASIK), nebulomacular corneal opacity following a trauma induced flap dehiscence and was managed with superficial anterior lamellar keratoplasty (SALK).Case Report:A 32-year-old female underwent LASIK 2.5 years back, with a postoperative unaided visual acuity (VA) of 6/6 in both eyes. She was involved in a road traffic accident and sustained blunt trauma to the right eye 5 months before. At the time of presentation, the VA was 1/60 in the right eye. Slit lamp examination revealed flap dehiscence, stromal scar and descemet folds in that eye. There was a small macular scar in the parafoveal area due to a resolved Berlin's edema. SALK was performed in the affected eye. Unaided VA of 6/36 was noted on post- operative day 1. After 4 weeks of SALK surgery, best corrected VA was 6/24.Conclusion:This case highlights that flap adhesions are not very strong even years after LASIK and SALK may be an effective treatment option for post refractive surgery corneal opacities.
Highlights
Post laser in situ keratomileusis (LASIK) traumatic flap displacement is a known complication occurring in 1% to 2% of cases within the first 24 hours after surgery.[1,2]
Quick Response Code: Website: www.jovr.org managed with superficial anterior lamellar keratoplasty (SALK)
LASIK had been done in both eyes 2.5 years earlier for a myopic refractive error of −6.00 diopters (D) with the reported post LASIK unaided visual acuity (VA) of 6/6 in both eyes
Summary
Post laser in situ keratomileusis (LASIK) traumatic flap displacement is a known complication occurring in 1% to 2% of cases within the first 24 hours after surgery.[1,2] Late flap dislocations, occurring after postoperative week 1, have been reported.[3]. Post laser in situ keratomileusis (LASIK) traumatic flap displacement is a known complication occurring in 1% to 2% of cases within the first 24 hours after surgery.[1,2] Late flap dislocations, occurring after postoperative week 1, have been reported.[3] we report a patient who experienced a post LASIK flap dehiscence and developed descemet folds and stromal scarring following a blunt trauma 2 years after an uneventful LASIK surgery.
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