Late Onset Flap Scarring After Laser in Situ Keratomileusis

Abstract

A 55 year old man had uneventful simultaneous LASIK. Seven months postoperatively, the patient came with complaints of a decrease in vision, photophobia, tearing, discomfort, and red eye during the last 2 weeks in the left eye. Suspicion was foreign body hit. Despite steroid treatment, the clinical outcome didn't improve. Eight months postoperatively, slit-lamp examination revealed thinning and scarring in the center of the fl ap in the central cornea. The left eye's best corrected visual acuity was 20/32. The patient underwent a surgical procedure of trephining of the scarred fl ap and using Mitomycin C 0.02%. At the fi nal examination after 18 months the BCVA was 20/25. This is the fi rst report on late central corneal scarring after LASIK. Trephinization of the scarred fl ap can restore visual acuity.

LASİK Sonrası Geç Dönem Diskiform Endoteliyitis

“…LASİK ameliyatı sonrası flep kırışıklıkları, epitel defekti, epitel yürümesi, enflamatuar reaksiyonlar, enfeksiyonlar ve epitelyal veya stromal herpes keratiti reaktivasyonları bildirilmiştir. [1][2][3][4][5][6] Bu çalışmamızda LASİK sonrası geç dönem diskiform endotelitis gelişmiş hastaya yaklaşım, tomografik değerlendirmeler, tedavi ve sonuçlarını gösterdik. …”