Late-onset traumatic laser in situ keratomileusis (LASIK) flap dehiscence.
OBJECTIVE
To report a case of laser in situ keratomileusis (LASIK) flap dehiscence following focal trauma six months after uneventful refractive surgery.


METHODS
Case report. A 37 year old man was seen one day after a tree branch snapped tangentially against his left cornea causing a dehiscence of his LASIK flap.


RESULTS
The flap was repositioned after treating the exposed flap stroma with a 50:50 mixture of distilled water and balanced salt solution. The patient regained 20/20 uncorrected visual acuity.


CONCLUSIONS
Patients should be informed about the potential for traumatic flap dehiscence following LASIK surgery and advised to wear eye protection when appropriate. Due to minimal wound healing except at the edges of the flap, corneal flap dehiscence may occur months or years after uneventful LASIK.
Geggel
H S
HS
Virginia Mason Medical Center, Section of Ophthalmology, Seattle, Washington 98101, USA. ophhsg@vmmc.org
Coday
M P
MP
D000328:Adult; D003315:Cornea / Q000601:surgery; D065306:Corneal Injuries; D005131:Eye Injuries / Q000150:complications* / Q000601:surgery; D006801:Humans; D020731:Keratomileusis, Laser In Situ; D008297:Male; D054140:Refractive Surgical Procedures; D012086:Reoperation; D013524:Surgical Flaps; D013529:Surgical Wound Dehiscence / Q000209:etiology* / Q000601:surgery; D014792:Visual Acuity; D014945:Wound Healing