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PubMed · 16722490

Late traumatic flap dislocations after LASIK.

Arthur C K Cheng·Srinivas K Rao·Gloria Y S Leung·Alvin L Young·Dennis S C Lam
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Abstract

PURPOSE: To report the management and outcome of late onset traumatic dislocation of LASIK flaps. METHODS: This retrospective, interventional case series presents three patients with late onset LASIK flap dislocation following mechanical trauma 1 to 7 years postoperatively. RESULTS: In all cases, the flap was surgically repositioned. Epithelial ingrowth was removed and diffuse lamellar keratitis was treated with an intensive steroid regimen. All patients returned to their preoperative best spectacle-corrected visual acuity. Aggressive steroid treatment during the perioperative period and meticulous handling of the epithelium are important in preventing further recurrence. CONCLUSIONS: Laser in situ keratomileusis flaps may experience mechanical dislocation as late as 7 years postoperatively. Diffuse lamellar keratitis and epithelial ingrowth are associated with flap dislodgment.

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Administration, TopicalAdultCorneaCorneal InjuriesEye InjuriesFemaleFollow-Up StudiesGlucocorticoidsHumansKeratomileusis, Laser In SituMaleRetrospective StudiesSurgical FlapsSurgical Wound DehiscenceWounds, NonpenetratingCase ReportsJournal ArticleResearch Support, Non-U.S. Gov't

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Arthur C K Cheng, Srinivas K Rao, Gloria Y S Leung, Alvin L Young, Dennis S C Lam. 2006. Late traumatic flap dislocations after LASIK.. https://doi.org/10.3928/1081-597x-20060501-13

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