Visual acuity recovery after late traumatic femtosecond laser in situ keratomileusis flap loss.
We report a case of traumatic flap loss from a fingernail 2 months after femtosecond laser-assisted laser in situ keratomileusis. On presentation, the patient's uncorrected visual acuity (UCVA) was 20/400 and complete flap avulsion was noted. Irrigation and treatment with mitomycin-C were done immediately, and a bandage contact lens was inserted. The epithelium healed completely over 1 week. One month after the injury, the UCVA was 20/15(-2). This case illustrates an excellent outcome from a potentially devastating event following refractive surgery in a military member.
Thomas
Karin E
KE
Naval Hospital Camp Pendleton, Camp Pendleton, and the Naval Medical Center San Diego, San Diego, California, USA. flykarin@aol.com
Tanzer
David J
DJ
D003319:Corneal Stroma / Q000293:injuries*; D005131:Eye Injuries / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D020731:Keratomileusis, Laser In Situ; D054018:Lasers, Excimer / Q000627:therapeutic use*; D008297:Male; D016685:Mitomycin / Q000008:administration & dosage; D020127:Recovery of Function / Q000502:physiology*; D013524:Surgical Flaps / Q000473:pathology*; D013529:Surgical Wound Dehiscence / Q000209:etiology* / Q000503:physiopathology; D007507:Therapeutic Irrigation; D014792:Visual Acuity / Q000502:physiology*; D014945:Wound Healing / Q000502:physiology; D014949:Wounds, Nonpenetrating / Q000209:etiology / Q000503:physiopathology; D055815:Young Adult
D016685:Mitomycin