Laser in situ keratomileusis flap tear during lifting for enhancement in the presence of post-photorefractive keratectomy corneal haze.
A patient who had photorefractive keratectomy for low myopia 6 years earlier had an enhancement by hyperopic laser in situ keratomileusis (LASIK). Moderate reticular corneal haze developed after LASIK. An attempted flap lift 4 months after LASIK resulted in a flap tear at the edge of the zone of corneal haze. Because haze can indicate an area of exuberant wound healing that can result in flap adhesion to the bed, recutting a LASIK flap may be safer than lifting it in the presence of haze.
Gressel
Michael G
MG
Department of Regional Ophthalmology, Cleveland Clinic Foundation, Lorain, Ohio 44053, USA.
Belsole
Vickie L
VL
D000328:Adult; D003318:Corneal Opacity / Q000150:complications / Q000601:surgery*; D003319:Corneal Stroma / Q000293:injuries*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects*; D054018:Lasers, Excimer; D009216:Myopia / Q000601:surgery; D018903:Photorefractive Keratectomy; D012086:Reoperation; D013524:Surgical Flaps