Surgical management of traumatic LASIK flap dislocation with macrostriae and epithelial ingrowth 14 years postoperatively

Derick G. Holt, Shameema Sikder, Mark D. Mifflin

Research output: Contribution to journalArticle

Abstract

Fourteen years after uneventful laser in situ keratomileusis (LASIK), a 59-year-old woman presented after suffering blunt trauma to her left eye 5 weeks earlier. The injury resulted in traumatic flap dislocation, epithelial ingrowth, and significant macrostriae. Following epithelial removal, the flap was hydrated with sterile water, facilitating reduction of the macrostriae and reapproximation without the need for suture placement. The postoperative course was uneventful, and at 1 month, the epithelial ingrowth and macrostriae had resolved and the uncorrected distance visual acuity was 20/30. This case represents the longest documented interval from LASIK surgery to traumatic flap dislocation. We describe our surgical approach to the management of this type of injury and present a video illustrating the technique. Financial Disclosure: No author has a financial or proprietary interest in any material or method mentioned.

Original languageEnglish (US)
Pages (from-to)357-361
Number of pages5
JournalJournal of cataract and refractive surgery
Volume38
Issue number2
DOIs
StatePublished - Feb 1 2012

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology
  • Sensory Systems

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