Abstract
Purpose: To report the management and outcome of late-onset traumatic dislocation of laser in situ keratomileusis (LASIK) flaps. Design: Retrospective, observational case series. Participants: Four patients with late-onset LASIK flap dislocation occurring after mechanical trauma at various intervals (10 days-2 months) after the procedure. Intervention: In all cases of postoperative traumatic LASIK flap dislocation, the flap was refloated with scraping and irrigation of the underlying stromal bed within 12 hours of the injury. A bandage contact lens was placed, and a regimen including topical antibiotics and corticosteroids was instituted in all cases. Main Outcome Measures: Best spectacle-corrected visual acuity and complications associated with the surgery were monitored. Results: Postoperative follow-up ranged from 4 to 21 months. Nonprogressive epithelial ingrowth was noted in one patient and diffuse lamellar keratitis developed in another patient. All patients recovered pretrauma spectacle-corrected visual acuity. Conclusions: Corneal LASIK flaps are prone to mechanical dislocation as late as 2 months after the procedure. Appropriate management results in recovery of optimal visual outcomes. (C) 2000 by the American Academy of Ophthalmology.
| Original language | English |
|---|---|
| Pages (from-to) | 2136-2139 |
| Number of pages | 4 |
| Journal | Ophthalmology |
| Volume | 107 |
| Issue number | 12 |
| DOIs | |
| State | Published - Dec 12 2000 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Ophthalmology
Cite this
Late traumatic dislocation of laser in situ keratomileusis corneal flaps. / Melki, Samir A.; Talamo, Jonathan H.; Demetriades, Anna Maria; Jabbur, Nada S.; Essepian, John P.; O'Brien, Terrence; Azar, Dimitri T.
In: Ophthalmology, Vol. 107, No. 12, 12.12.2000, p. 2136-2139.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Late traumatic dislocation of laser in situ keratomileusis corneal flaps
AU - Melki, Samir A.
AU - Talamo, Jonathan H.
AU - Demetriades, Anna Maria
AU - Jabbur, Nada S.
AU - Essepian, John P.
AU - O'Brien, Terrence
AU - Azar, Dimitri T.
PY - 2000/12/12
Y1 - 2000/12/12
N2 - Purpose: To report the management and outcome of late-onset traumatic dislocation of laser in situ keratomileusis (LASIK) flaps. Design: Retrospective, observational case series. Participants: Four patients with late-onset LASIK flap dislocation occurring after mechanical trauma at various intervals (10 days-2 months) after the procedure. Intervention: In all cases of postoperative traumatic LASIK flap dislocation, the flap was refloated with scraping and irrigation of the underlying stromal bed within 12 hours of the injury. A bandage contact lens was placed, and a regimen including topical antibiotics and corticosteroids was instituted in all cases. Main Outcome Measures: Best spectacle-corrected visual acuity and complications associated with the surgery were monitored. Results: Postoperative follow-up ranged from 4 to 21 months. Nonprogressive epithelial ingrowth was noted in one patient and diffuse lamellar keratitis developed in another patient. All patients recovered pretrauma spectacle-corrected visual acuity. Conclusions: Corneal LASIK flaps are prone to mechanical dislocation as late as 2 months after the procedure. Appropriate management results in recovery of optimal visual outcomes. (C) 2000 by the American Academy of Ophthalmology.
AB - Purpose: To report the management and outcome of late-onset traumatic dislocation of laser in situ keratomileusis (LASIK) flaps. Design: Retrospective, observational case series. Participants: Four patients with late-onset LASIK flap dislocation occurring after mechanical trauma at various intervals (10 days-2 months) after the procedure. Intervention: In all cases of postoperative traumatic LASIK flap dislocation, the flap was refloated with scraping and irrigation of the underlying stromal bed within 12 hours of the injury. A bandage contact lens was placed, and a regimen including topical antibiotics and corticosteroids was instituted in all cases. Main Outcome Measures: Best spectacle-corrected visual acuity and complications associated with the surgery were monitored. Results: Postoperative follow-up ranged from 4 to 21 months. Nonprogressive epithelial ingrowth was noted in one patient and diffuse lamellar keratitis developed in another patient. All patients recovered pretrauma spectacle-corrected visual acuity. Conclusions: Corneal LASIK flaps are prone to mechanical dislocation as late as 2 months after the procedure. Appropriate management results in recovery of optimal visual outcomes. (C) 2000 by the American Academy of Ophthalmology.
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UR - http://www.scopus.com/inward/citedby.url?scp=0033653323&partnerID=8YFLogxK
U2 - 10.1016/S0161-6420(00)00405-X
DO - 10.1016/S0161-6420(00)00405-X
M3 - Article
C2 - 11097584
AN - SCOPUS:0033653323
VL - 107
SP - 2136
EP - 2139
JO - Ophthalmology
JF - Ophthalmology
SN - 0161-6420
IS - 12
ER -