Traumatic corneal flap dehiscence 6 years after LASIK.
OBJECTIVE
To report a case of LASIK flap dehiscence caused by blunt trauma 6 years after uneventful refractive surgery.


METHODS
A 32-year-old man presented 3 hours after being struck by a carton edge in his left cornea, causing dehiscence of the LASIK flap.


RESULTS
At initial examination, uncorrected visual acuity (UCVA) was 20/200 in the left eye. Minimal flap dehiscence was seen on the inferior corneal quadrant. A therapeutic bandage soft contact lens was placed and topical medical therapy was administered. Ten days after trauma, UCVA was 20/50 and best spectacle-corrected visual acuity was 20/30 in the left eye. At 7-month follow-up, the patient's clinical status did not change.


CONCLUSIONS
Blunt corneal trauma occurring several years after uneventful LASIK may cause corneal flap dehiscence. Appropriate and prompt treatment usually is successful.
Iskeleli
Güzin
G
Department of Ophthalmology, Cerrahpasa Faculty of Medicine, Istanbul University, Istanbul, Turkey. guziniskeleli@hotmail.com
Ozkok
Ahmet
A
Cicik
Erdogan
E
D000328:Adult; D003319:Corneal Stroma / Q000293:injuries*; D005131:Eye Injuries / Q000150:complications*; D006801:Humans; D020731:Keratomileusis, Laser In Situ; D008297:Male; D013524:Surgical Flaps; D013529:Surgical Wound Dehiscence / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D013997:Time Factors; D014792:Visual Acuity / Q000502:physiology; D014949:Wounds, Nonpenetrating / Q000150:complications*