title: Photorefractive keratectomy after late traumatic LASIK flap loss.
abstract: OBJECTIVE
  To present a case of photorefractive keratectomy (PRK) after late traumatic LASIK flap loss.
  
  
  METHODS
  The initial LASIK procedure was performed in 2003 with a Moria M2 microkeratome and NIDEK EC-5000 excimer laser using a 5.0/9.0-mm aspheric ablation pattern, resulting in 20/20(+) uncorrected distance visual acuity (UDVA) and plano refraction. Traumatic flap loss of the right eye occurred in 2007. The patient was treated for the trauma, and PRK for -5.00 -1.25 × 090° was performed 2 months later.
  
  
  RESULTS
  Posttraumatic flap loss UDVA was 20/200 in the right eye, with corrected distance visual acuity (CDVA) of 20/25(+2). After PRK with mitomycin C (MMC), UDVA was 20/15 2 months postoperatively and was maintained through the last postoperative follow-up in 2010 (approximately 3 years after PRK).
  
  
  CONCLUSIONS
  Treating a patient with traumatic LASIK flap loss can be done by careful, conservative treatment of the abrasion followed by correction of the refractive error using PRK with MMC.
authors.affiliation: Motwani Lasik Institute, San Diego, CA, USA. lasikdoc@drmotwani.com
authors.forename: Manoj
authors.initials: M
authors.lastname: Motwani
authors.forename: Guillermo J
authors.initials: GJ
authors.lastname: Lizano
authors.forename: Kenneth
authors.initials: K
authors.lastname: Yam
authors.forename: Carter
authors.initials: C
authors.lastname: English
mesh_terms: D000328:Adult; D003315:Cornea / Q000473:pathology / Q000601:surgery*; D016039:Corneal Transplantation / Q000379:methods*; D005131:Eye Injuries / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D020731:Keratomileusis, Laser In Situ / Q000379:methods*; D008297:Male; D009216:Myopia / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D018903:Photorefractive Keratectomy / Q000379:methods*; D013997:Time Factors; D014792:Visual Acuity