Traumatic corneal flap dehiscence 6 years after LASIK.

J Refract Surg

Department of Ophthalmology, Cerrahpasa Faculty of Medicine, Istanbul University, Istanbul, Turkey.

Published: September 2009

AI Article Synopsis

  • A case was reported involving a 32-year-old man who experienced LASIK flap dehiscence 6 years post-surgery after being hit by a carton edge.
  • Upon examination, his vision was significantly reduced to 20/200 in the affected eye, with minimal flap dehiscence observed.
  • After treatment with a contact lens and medication, his vision improved to 20/50 within 10 days, with no further change noted at a 7-month follow-up, highlighting the need for prompt care in such incidents.

Article Abstract

Purpose: To report a case of LASIK flap dehiscence caused by blunt trauma 6 years after uneventful refractive surgery.

Methods: A 32-year-old man presented 3 hours after being struck by a carton edge in his left cornea, causing dehiscence of the LASIK flap.

Results: At initial examination, uncorrected visual acuity (UCVA) was 20/200 in the left eye. Minimal flap dehiscence was seen on the inferior corneal quadrant. A therapeutic bandage soft contact lens was placed and topical medical therapy was administered. Ten days after trauma, UCVA was 20/50 and best spectacle-corrected visual acuity was 20/30 in the left eye. At 7-month follow-up, the patient's clinical status did not change.

Conclusions: Blunt corneal trauma occurring several years after uneventful LASIK may cause corneal flap dehiscence. Appropriate and prompt treatment usually is successful.

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Source
http://dx.doi.org/10.3928/1081597X-20090515-04DOI Listing

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