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Traumatic bilateral LASIK flap dislocation

Poster Details

First Author: A.Kalevar CANADA

Co Author(s):    D. Cheema              

Abstract Details



Purpose:

To report the first case of a patient who developed bilateral corneal flap dehiscence 2 years after LASIK following facial trauma.

Setting:

Tertiary academic hospital

Methods:

Clinical presentation, mechanism of injury, complications, treatment and outcome were studied. Review of published cases on LASIK flap dislocation was performed.

Results:

Case involved a 41-year-old man who dislocated both his flaps after being hit to face by a fist 2 years after LASIK. Uncorrected visual acuity was 20/400 OD and 20/200 OS. Bilaterally, flap dislocation, epithelial ingrowth and significant macrostriae were seen. Immediate surgical lift of both flaps with removal of the epithelium ingrowth from the stromal beds was completed. The flaps were refloated and repositioned and bandage contact lens were used along with topical medication. Final BCVA was 20/20 OD and 20/25 OS, with mild microstriae and mild focal areas of epithelial ingrowth OU.

Conclusions:

Flap dehiscence is a rare complication of LASIK. Several case reports have been published that demonstrate that tangential force applied to eyes having undergone LASIK years ago can dislocate. However, this is the first case report to have traumatic flap dislocation bilaterally years after surgery.

Financial Disclosure:

NONE

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