Successful delayed surgical revision of a dislocated LASIK flap.
A 53-year-old woman presented with decreased vision and light sensitivity in the left eye for 3 months' duration. The patient had injured her left eye 7 months after laser in situ keratomileusis (LASIK), causing a traumatic flap dislocation that had not been repositioned. Three months after the injury, the LASIK flap was successfully repositioned with extensive intraoperative epithelial debridement and the use of flap sutures. Uncorrected visual acuity improved from 20/200 and J12 preoperatively to 20/60 and J1 postoperatively. This case illustrates that, although immediate flap repositioning is always recommended, a dislocated LASIK flap can be successfully repositioned even months after the trauma with an excellent visual outcome.
Department of Ophthalmology, Emory University, Atlanta, GA, USA.
John B
JB
Davies
J Bradley
JB
Randleman
D003319:Corneal Stroma / Q000293:injuries / Q000601:surgery*; D019781:Corneal Topography; D003646:Debridement; D005131:Eye Injuries / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D020731:Keratomileusis, Laser In Situ; D054018:Lasers, Excimer; D008875:Middle Aged; D012086:Reoperation; D013524:Surgical Flaps; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000601:surgery*; D013536:Suture Techniques; D014792:Visual Acuity