title: Globe Rupture of a Post-LASIK Keratectasia Eye From Blunt Trauma.
abstract: OBJECTIVE
  To report a case of globe rupture in a patient with post-laser in situ keratomileusis (LASIK) ectasia after blunt trauma.
  
  
  METHODS
  Observational case report.
  
  
  RESULTS
  A 42-year-old man with a history of post-LASIK ectasia sustained paracentral corneal rupture secondary to blunt trauma from a fist to his left eye (OS). Slit-lamp examination revealed rupture in the posterior stroma (inferior paracentral) of the OS with an overlying intact LASIK flap; however, the inferior edges of the LASIK flap were Seidel positive. The anterior chamber was flat. Although he was initially managed with cyanoacrylate glue and a bandage contact lens, the patient eventually required tectonic penetrating keratoplasty. The postoperative course was unremarkable, and over 1 year later, the visual acuity OS was 20/25 with -7.50 + 2.00 × 0.50.
  
  
  CONCLUSIONS
  Globe rupture from blunt trauma has not been shown to be more common in patients with a history of LASIK. Although blunt trauma to the post-LASIK globe would generally incur a similar risk of rupture to that of the normal eye, keratectasia after LASIK may predispose the globe to rupture.
authors.affiliation: *Department of Ophthalmology, Beaumont Health System, Oakland University William Beaumont School of Medicine, Royal Oak, MI; and†Michigan Cornea Consultants, Southfield, MI.
authors.forename: Albert Y
authors.initials: AY
authors.lastname: Cheung
authors.forename: David G
authors.initials: DG
authors.lastname: Heidemann
mesh_terms: D000328:Adult; D065306:Corneal Injuries / Q000209:etiology* / Q000601:surgery; D004108:Dilatation, Pathologic / Q000209:etiology; D006801:Humans; D007640:Keratoconus / Q000209:etiology*; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects*; D015948:Keratoplasty, Penetrating; D008297:Male; D009216:Myopia / Q000601:surgery; D011183:Postoperative Complications; D012421:Rupture / Q000209:etiology* / Q000601:surgery; D014792:Visual Acuity / Q000502:physiology; D014949:Wounds, Nonpenetrating / Q000209:etiology* / Q000601:surgery