Traumatic partial unfolding of laser in situ keratomileusis flap with severe epithelial ingrowth.
We report an unusual flap-related complication that occurred 11 months after uneventful laser in situ keratomileusis (LASIK) performed in the eye of a 50-year-old woman. She developed partial infolding of the LASIK flap in her left eye after blunt trauma. The initial diagnosis was partial flap loss and 4 weeks later, infolding of the flap was diagnosed after severe epithelial ingrowth. Surgical repositioning of the flap resulted in a best corrected visual acuity of 20/20. Clinical features that assist in the diagnosis of this unusual complication and guidelines for its management are described.
Leung
A T
AT
Department of Ophthalmology and Visual Sciences, Chinese University of Hong Kong, Prince of Wales Hospital, China.
Rao
S K
SK
Lam
D S
DS
D003315:Cornea / Q000473:pathology; D065306:Corneal Injuries; D004847:Epithelial Cells / Q000473:pathology*; D005131:Eye Injuries / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D020731:Keratomileusis, Laser In Situ; D008875:Middle Aged; D012086:Reoperation; D013524:Surgical Flaps; D014792:Visual Acuity; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery