title: Bilateral Iris Atrophy after the Femtosecond Assisted Laser In Situ Keratomileusis Surgery.
abstract: Purpose. To report an unknown complication of laser in situ keratomileusis (LASIK) surgery. Case Presentation. A 28-year-old female presented with photophobia and glare to our eye service. She stated in her medical history that she had undergone femtosecond assisted LASIK surgery in both eyes 15 months ago and her symptoms started just after this surgery. On admission, her best-corrected visual acuity was 10/10 in both eyes. She had mydriatic pupils with no direct light reflex. Examination of the anterior segment revealed bilateral iris atrophy projecting within the LASIK ablation zone and a transillumination defect was remarkable on the slit lamp examination. Conclusion. We hypothesized that this condition may have been caused by the abnormally increased IOP that resulted in ischemia in the iris vascular plexus during the suction process of surgery.
authors.affiliation: Department of Ophthalmology, Gumussuyu Military Hospital, 34100 Besiktas, Istanbul, Turkey.
authors.forename: Kenan
authors.initials: K
authors.lastname: Olcay
authors.affiliation: Department of Ophthalmology, Golcuk Military Hospital, 41650 Golcuk, Kocaeli, Turkey.
authors.forename: Akin
authors.initials: A
authors.lastname: Cakir
authors.affiliation: Department of Ophthalmology, Gulhane Military Medical Academy Haydarpasa Training Hospital, 34668 Uskudar, Istanbul, Turkey.
authors.forename: Sercan Koray
authors.initials: SK
authors.lastname: Sagdic
authors.affiliation: Department of Ophthalmology, Gulhane Military Medical Academy Haydarpasa Training Hospital, 34668 Uskudar, Istanbul, Turkey.
authors.forename: Eyup
authors.initials: E
authors.lastname: Duzgun
authors.affiliation: Department of Ophthalmology, Gulhane Military Medical Academy Haydarpasa Training Hospital, 34668 Uskudar, Istanbul, Turkey.
authors.forename: Yildiray
authors.initials: Y
authors.lastname: Yildirim