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Related Experiment Videos

Late traumatic flap dislocations after LASIK.

Arthur C K Cheng1, Srinivas K Rao, Gloria Y S Leung

  • 1Department of Ophthalmology & Visual Sciences, The Chinese University of Hong Kong, University Eye Center, Hong Kong Eye Hospital, People's Republic of China. artcheng@netvigator.com

Journal of Refractive Surgery (Thorofare, N.J. : 1995)
|May 26, 2006
PubMed
Summary

Late traumatic dislocation of Laser in situ keratomileusis (LASIK) flaps can occur up to 7 years post-surgery. Prompt surgical repositioning and intensive steroid treatment are key to successful outcomes.

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Area of Science:

  • Ophthalmology
  • Corneal Surgery

Background:

  • Laser in situ keratomileusis (LASIK) is a common refractive surgery.
  • While generally safe, LASIK flaps can be susceptible to dislocation, particularly after trauma.

Observation:

  • This case series examines three patients experiencing late-onset LASIK flap dislocation.
  • Dislocations occurred 1 to 7 years after the initial LASIK procedure due to mechanical trauma.

Findings:

  • Surgical repositioning of the dislocated LASIK flap was performed in all cases.
  • Associated complications, including epithelial ingrowth and diffuse lamellar keratitis, were managed.
  • All patients regained their preoperative best spectacle-corrected visual acuity post-treatment.

Implications:

Related Experiment Videos

  • LASIK flaps can dislocate years after surgery, emphasizing the need for long-term patient awareness.
  • Effective management involves prompt surgical intervention, treatment of complications like epithelial ingrowth and diffuse lamellar keratitis, and aggressive perioperative steroid use.
  • Meticulous epithelial handling during repositioning is crucial to prevent recurrence.