Late-onset traumatic laser in situ keratomileusis (LASIK) flap dehiscence

Geggel, Harry S.; Coday, Mary P.

doi:10.1016/s0002-9394(00)00845-x

Cited by 30 publications

(10 citation statements)

References 2 publications

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“…Most reported traumatic flap displacements are partial and can subsequently be repositioned with satisfactory results. [1][2][3][4] Occasionally, however, significant force may completely avulse the corneal flap, resulting in a lost flap. 5,6 Complete loss of the flap may cause significant haze and loss of best spectaclecorrected visual acuity.…”

mentioning

confidence: 99%

Successful Corneal Flap Replacement Following Complete Traumatic FlapAmputation After Laser-Assisted In Situ Keratomileusis

Haw¹

2004

Arch Ophthalmol

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mentioning

confidence: 99%

Successful Corneal Flap Replacement Following Complete Traumatic FlapAmputation After Laser-Assisted In Situ Keratomileusis

Haw¹

2004

Arch Ophthalmol

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“…The other 2 complications associated with RD repair in patients with previous LASIK were flap dehiscence 2-6 (range 4 to 57 months after LASIK) and striae, 3,4 which, like epithelial ingrowth, can lead to decreased BCVA. There have been reports of noniatrogenic LASIK flap dehiscence (with causes ranging from a tree branch to a dog's paw) [15][16][17][18] occurring 10 days to 6 months after LASIK. As refractive surgeons have been able to relift flaps 9 to10 years after LASIK for purposes of enhancement, 19 it is possible that iatrogenic flap dehiscences can also occur many years later.…”

Section: Discussionmentioning

confidence: 99%

Complications of sequential keratorefractive and vitreoretinal surgery

Kuo¹,

O’Brien²,

Haller³

et al. 2006

Journal of Cataract and Refractive Surgery

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We describe 2 complications of sequential keratorefractive and vitreoretinal surgery not previously reported. Epithelial ingrowth occurred in 1 patient who experienced laser in situ keratomileusis flap dehiscence and replacement during vitreoretinal surgery. In the second patient, a flap could not be created with a microkeratome or a femtosecond laser because of anatomical changes from previous vitreoretinal surgery. Anatomic repair of the vitreoretinal pathology and completion of keratorefractive surgery with good visual outcomes were achieved in both patients. Flap stability should be an important operative consideration for vitreoretinal surgeons; patients may have to be informed of the risk for and possible subsequent complications of iatrogenic flap dehiscence. Refractive surgeons operating on patients after vitreoretinal surgery may encounter difficulty creating a LASIK flap even with a femtosecond laser and may need to consider other keratorefractive options.

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“…Lifting and stretching the flap can clear the flap folds. [5][6][7][8][9][10][11][12][13][14][15][16] In this case, the patient developed flap folds and dehiscence twice from similar blunt traumas. However, the flap folds were treated more easily after the first injury than after the second one.…”

Section: Discussionmentioning

confidence: 99%

Late-onset repetitive traumatic flap folds and partial dehiscence of flap edge after laser in situ keratomileusis

Miyai

Nejima²,

Shimizu³

et al. 2005

Journal of Cataract and Refractive Surgery

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A 25-year-old woman had traumatic flap folds and partial dehiscence of the flap edge in the right eye 5 and 30 months after laser in situ keratomileusis. The period from injury to treatment was 4 hours and 9 days, respectively. With the first injury, the flap was lifted and stretched with moistened sponges to clear the folds. With the second injury, the folds were hard so the flap was lifted and sutured to stretch the folds. The patient recovered visual acuity within 2 weeks.

show abstract

Late-onset traumatic laser in situ keratomileusis (LASIK) flap dehiscence

Cited by 30 publications

References 2 publications

Successful Corneal Flap Replacement Following Complete Traumatic FlapAmputation After Laser-Assisted In Situ Keratomileusis

Successful Corneal Flap Replacement Following Complete Traumatic FlapAmputation After Laser-Assisted In Situ Keratomileusis

Complications of sequential keratorefractive and vitreoretinal surgery

Late-onset repetitive traumatic flap folds and partial dehiscence of flap edge after laser in situ keratomileusis

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