Late traumatic flap dislocation after laser in situ keratomileusis.
Three patients who had laser in situ keratomileusis (LASIK) experienced severe direct corneal trauma 3 to 38 months postoperatively. Flap dislocation resulted in all 3 patients. Presentation following trauma ranged from a few hours to 9 days. All patients were successfully managed by surgical flap repositioning, and all maintained a best corrected visual acuity of 20/20. A literature review of traumatic flap dislocation cases and the most recent methods of diagnosis and management are included.
Iskander
N G
NG
Gimbel Eye Centre, Calgary, Alberta, Canada. niskande@med.wayne.edu
Peters
N T
NT
Anderson Penno
E
E
Gimbel
H V
HV
D000328:Adult; D003319:Corneal Stroma / Q000293:injuries* / Q000473:pathology*; D005131:Eye Injuries / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006801:Humans; D020731:Keratomileusis, Laser In Situ; D008297:Male; D008875:Middle Aged; D054140:Refractive Surgical Procedures; D012086:Reoperation; D013524:Surgical Flaps; D013529:Surgical Wound Dehiscence / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014792:Visual Acuity; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000175:diagnosis / Q000601:surgery