Management of a Traumatic Flap Dislocation Seven Years after LASIK

Moshirfar, Majid; Anderson, Erik; Taylor, Nathan S.; Hsu, Maylon

doi:10.1155/2011/514780

Cited by 9 publications

(7 citation statements)

References 9 publications

(5 reference statements)

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“…Our case is the latest-onset of traumatic epithelial ingrowth, 15years after initial LASIK, and the only case without flap displacement. [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] In the current case, epithelial ingrowth resolved on slit lamp exam after flap lift, debridement, and drop treatment; visual symptoms did not return. How the epithelial cells were introduced under the corneal flap remains unclear.…”

Section: Discussionmentioning

confidence: 92%

Traumatic Epithelial Ingrowth Despite Non-Displaced Lasik Flap

Aboumerhi¹

2015

MOJCR

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A 50-year-old female developed significant aggressive epithelial ingrowth after a minor corneal abrasion to her left eye, which required surgical removal. On presentation, she exhibited no signs of corneal flap manipulation or displacement. This report exemplifies the latest presentation of traumatic epithelial ingrowth from initial LASIK surgery and the only case without flap displacement, emphasizing the need for close follow-up and examination of all LASIK patients even after minor trauma.

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Section: Discussionmentioning

confidence: 92%

Traumatic Epithelial Ingrowth Despite Non-Displaced Lasik Flap

Aboumerhi¹

2015

MOJCR

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“…The incidence rate of early flap dislocations is reported as <0.1% during the first year and is most often seen within the first few days after surgery [8]. The severity of a dislocation is variable, micro- or macrostriae are reported more often [12]; however, complete flap loss is a rare complication [9, 13]. To our knowledge, there are no reports of a folded flap case yet, where the flap margin was situated between the central part of the flap and the stroma bed.…”

Section: Discussionmentioning

confidence: 99%

Calzone-Like Traumatic Flap Dislocation Four Years after Laser in situ Keratomileusis

Fischinger¹,

Wendelstein

Bolz

et al. 2019

Case Rep Ophthalmol

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A 46-year-old patient presented with a flip-folded partially dislocated flap after trauma caused by a sheet of paper, four years after a reportedly uneventful laser in situ keratomileusis procedure using microkeratome. Flap re-lift, mechanical debridement, and flap stretching were performed in a first interventional approach. Due to epithelial ingrowth two month after the first intervention, a flap re-lift and mechanical removal of epithelial cells from the stroma bed and flap were performed. In addition, triamcinolone was applied subconjunctivally. Thereafter, best corrected visual acuity of 20/20 was regained and no more epithelial ingrowth was observed. Only few cases of flap dislocation with epithelial ingrowth have been described in the literature following trauma, though none of a permanently inward folded flap. The use of subconjunctival triamcinolone is a new approach to prevent recurrent epithelial ingrowth.

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“…Two cases did not require debridement of epithelial ingrowth; one case in the series involving corneal perforation mandated penetrating keratoplasty. Our case is the latest-onset of traumatic epithelial ingrowth, 15 years after initial LASIK, and the only case without flap displacement [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19]20]. …”

Section: Discussionmentioning

confidence: 99%