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Traumatic epithelial flap detachment after laser subepithelial keratomileusis
Kazuo Tsuji1, Takahiro Yamamoto, Yoshiko Hori-Komai
1Minamiaoyama Eye Clinic, Tokyo, Japan. tsuji@green.ocn.ne.jp
Journal of Refractive Surgery (Thorofare, N.J. : 1995)
|April 11, 2006
Summary
Mild trauma can cause corneal epithelial flap detachment early after laser subepithelial keratomileusis (LASEK). Prompt treatment with a bandage contact lens and eye drops led to complete healing and restored vision.
Area of Science:
- Ophthalmology
- Refractive Surgery
Background:
- Laser subepithelial keratomileusis (LASEK) is a refractive surgical procedure for myopia correction.
- Early postoperative complications require careful monitoring and management.
Observation:
- A 30-year-old male patient developed corneal epithelial flap detachment 20 days post-LASEK.
- The detachment occurred during pressure patching for a hordeolum.
Findings:
- The corneal defect was successfully treated with a bandage contact lens, levofloxacin, and hyaluronic acid eye drops.
- Complete epithelial closure and uncorrected visual acuity of 20/20 were achieved within 10 days of the detachment.
Implications:
- This case highlights that even mild trauma can precipitate epithelial flap detachment in the early LASEK recovery period.
- Prompt and appropriate management can lead to favorable visual outcomes despite this complication.