Advertisement

International Ophthalmology

, Volume 32, Issue 5, pp 459–460 | Cite as

OCT visualization of corneal structural changes in traumatic dislocation of LASIK flap

  • Alfonso IovienoEmail author
  • Daya P. Sharma
  • Mark R. Wilkins
Photo Essay

Abstract

A 45-year-old woman presented with a traumatic laser-assisted in situ keratomileusis (LASIK) flap dislocation in the right eye. Anterior segment optical coherence tomography (OCT) showed the presence of macrostriae, flap stromal edema, epithelial hyperplasia between the striae and epithelial ingrowth. The flap was surgically repositioned with optimal visual recovery. Anterior segment OCT can efficiently visualize corneal structural changes associated with LASIK flap dislocation.

Keywords

LASIK OCT Refractive surgery Trauma 

Notes

Conflict of interest

None.

References

  1. 1.
    Tumbocon JA, Paul R, Slomovic A, Rootman DS (2003) Late traumatic displacement of laser in situ keratomileusis flaps. Cornea 22(1):66–69PubMedCrossRefGoogle Scholar
  2. 2.
    Yeh DL, Bushley DM, Kim T (2006) Treatment of traumatic LASIK flap dislocation and epithelial ingrowth with fibrin glue. Am J Ophthalmol 141(5):960–962. doi: 10.1016/j.ajo.2005.12.001 PubMedCrossRefGoogle Scholar
  3. 3.
    Holt DG, Sikder S, Mifflin MD (2011) Surgical management of traumatic LASIK flap dislocation with macrostriae and epithelial ingrowth 14 years postoperatively. J Cataract Refract Surg 38(2):357–361. doi: 10.1016/j.jcrs.2011.10.024 PubMedCrossRefGoogle Scholar
  4. 4.
    Tsai PS, McLeod SD (2003) Treatment of macrostriae and epithelial ingrowth following laser in situ keratomileusis with interrupted sutures. Arch Ophthalmol 121(12):1800–1801. doi: 10.1001/archopht.121.12.1800 PubMedCrossRefGoogle Scholar
  5. 5.
    Rosas Salaroli CH, Li Y, Huang D (2009) High-resolution optical coherence tomography visualization of LASIK flap displacement. J Cataract Refract Surg 35(9):1640–1642. doi: 10.1016/j.jcrs.2009.04.025 PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. 2012

Authors and Affiliations

  • Alfonso Iovieno
    • 1
    Email author
  • Daya P. Sharma
    • 1
  • Mark R. Wilkins
    • 1
  1. 1.Moorfields Eye HospitalLondonUK

Personalised recommendations