title: Traumatic flap dislocation 10 years after LASIK. Case report and literature review.
abstract: We report a case of traumatic partial flap dislocation 10 years after uneventful laser in situ keratomileusis (LASIK). The patient was treated bilaterally for hyperopia and astigmatism with LASIK. A superior-hinged corneal flap was created using the Moria M2 microkeratome (Moria SA, Antony, France) and the surgery was uneventful. Ten years later, partial flap dislocation was diagnosed after mild trauma. This case suggests that flap dislocations can occur during recreational activities up to 10 years after surgery. Full visual recovery is achievable if the case is managed promptly. Further studies should evaluate the potential protective role of an inferior hinge during LASIK.
authors.affiliation: Hôtel-Dieu de France, Ophthalmology department, rue Alfred-Naccache, Beirut, Lebanon. ziad@khoueir.com
authors.forename: Z
authors.initials: Z
authors.lastname: Khoueir
authors.forename: N M
authors.initials: NM
authors.lastname: Haddad
authors.forename: A
authors.initials: A
authors.lastname: Saad
authors.forename: E
authors.initials: E
authors.lastname: Chelala
authors.forename: E
authors.initials: E
authors.lastname: Warrak
mesh_terms: D000059:Accidents; D000328:Adult; D001251:Astigmatism / Q000601:surgery; D005131:Eye Injuries / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D006956:Hyperopia / Q000601:surgery; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects*; D008297:Male; D011998:Recreation; D013524:Surgical Flaps / Q000009:adverse effects*; D013997:Time Factors