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Bilateral iris atrophy after the femtosecond assisted laser in situ keratomileusis (LASIK) surgery

Poster Details

First Author: K.Olcay TURKEY

Co Author(s):    A. Cakir              

Abstract Details

Purpose:

Announce an unknown complication of LASÄ°K surgery.

Setting:

Gumussuyu Military Hospital, Eye Service, 34100, Besiktas, Istanbul

Methods:

A 28-years-old female presented with photophobia and glare to our eye service. She stated in her medical history that she has been undergone femtosecond-assisted LASIK surgery in both eyes 15 months ago and her symptoms started just after this surgery. Preoperative medical records of the patient had revealed -4.75 (-1.00x175) in the right eye and -4.50 (-0.50x180) in the left eye and otherwise a normal ophthalmological examination.

Results:

On admission, her best-corrected visual acuity was 10/10 in both eyes. She had mydriatic pupils with no direct light reflex. Visual fields were full to confrontation in both eyes. Examination of the anterior segment revealed bilateral iris atrophy projecting with the LASIK ablation zone and a transillumination defect was remarkable on the slit lamp examination. Funduscopy and intraocular pressures (IOP) were normal in both eyes.

Conclusions:

We hypothesized that this situation may have been caused by the abnormally increased IOP that resulted in ischemia in the iris vascular plexus during the suction process of surgery.

Financial Disclosure:

NONE

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