Traumatic flap dislocation 4 years after LASIK due to air bag injury.
OBJECTIVE
To report a patient who developed corneal flap dislocation following air bag injury 48 months after LASIK.


METHODS
Evaluation by slit-lamp microscopy and fluorescein angiography.


RESULTS
A 29-year-old man was treated after air bag injury that occurred 48 months after LASIK. Examination revealed corneal flap dislocation, with severe folds and flap edema. Preoperative visual acuity was finger counting at 1 m. Visual acuity was 20/400 24 hours after repositioning the corneal flap. Retinal angiography revealed Berlin macular edema, which was injected with periocular steroids. Five days after injection, visual acuity remained 20/400, but improved to 20/40 1 month after injection.


CONCLUSIONS
Significant trauma can dislocate a corneal flap many months after surgery.
Ramírez
Manuel
M
Department of Cornea and Refractive Surgery, Asociación Para Evitar la Ceguera en México, Hospital Luis Súnchez Bulnes, Universidad Nacional Autónoma de México, Mexico City, Mexico. mramirezfdz@igo.com.mx
Quiroz-Mercado
Hugo
H
Hernandez-Quintela
Everardo
E
Naranjo-Tackman
Ramón
R
D000063:Accidents, Traffic; D000328:Adult; D017278:Air Bags / Q000009:adverse effects*; D001623:Betamethasone / Q000627:therapeutic use; D065306:Corneal Injuries; D005131:Eye Injuries / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D005451:Fluorescein Angiography; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D020731:Keratomileusis, Laser In Situ; D008269:Macular Edema / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D008297:Male; D009216:Myopia / Q000601:surgery; D013524:Surgical Flaps; D013529:Surgical Wound Dehiscence / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D013997:Time Factors; D014792:Visual Acuity; D014949:Wounds, Nonpenetrating / Q000209:etiology* / Q000473:pathology / Q000601:surgery
D005938:Glucocorticoids; D001623:Betamethasone