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Partial Scleral Rupture Presenting 4 Years After Laser in Situ Keratomileusis
Kara C LaMattina1,2, Robert S Feder1, Anjum F Koreishi1
1Department of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, IL.
Cornea
|January 3, 2019
Summary
A rare case of partial scleral rupture occurred years after laser in situ keratomileusis (LASIK) surgery. This complication, possibly linked to mechanical damage during LASIK and pregnancy, highlights the need for careful patient monitoring.
Area of Science:
- Ophthalmology
- Surgical Complications
Background:
- Laser in situ keratomileusis (LASIK) is a common refractive surgery.
- Late complications, though rare, require thorough investigation.
Observation:
- A 32-year-old woman presented with bilateral partial scleral ruptures 4 years post-LASIK.
- Findings included filtering blebs, hypotony, and astigmatism in the right eye.
- Imaging showed scleral microbreaks without significant thinning or inflammation.
Findings:
- The scleral ruptures were characterized by microbreaks without inflammatory signs.
- The pattern suggests mechanical damage from LASIK, potentially exacerbated by pregnancy.
Implications:
- This case suggests mechanical stress from LASIK can lead to late scleral complications.
- Hormonal changes, such as during pregnancy, may increase susceptibility.
- Further research into long-term LASIK safety and risk factors is warranted.
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