scholarly journals Management of a Traumatic Flap Dislocation Seven Years after LASIK

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Majid Moshirfar ◽  
Erik Anderson ◽  
Nathan Taylor ◽  
Maylon Hsu
Keyword(s):  
Visual Acuity ◽  
Laser In Situ Keratomileusis ◽  
Epithelial Ingrowth ◽  
Blurry Vision

Seven years after uneventful laser in situ keratomileusis (LASIK), a 48-year-old woman presented one week after being hit with an iron cord with blurry vision, pain, and irritation. The injury resulted in traumatic flap dislocation, epithelial ingrowth, and macrostriae. Following epithelial removal, the flap was refloated and repositioned. Nine interrupted sutures were used to secure the flap. Three-weeks after surgery with no sutures remaining, the epithelial ingrowth and macrostriae had resolved with a visual acuity of 20/20.

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

2019 ◽  
Vol 10 (2) ◽  
pp. 281-286
Author(s):  
Isaak Fischinger ◽  
Jascha Wendelstein ◽  
Matthias Bolz ◽  
Manfred Tetz
Keyword(s):  
Visual Acuity ◽  
Epithelial Cells ◽  
Laser In Situ Keratomileusis ◽  
New Approach ◽  
Epithelial Ingrowth ◽  
Mechanical Removal ◽  
Corrected Visual Acuity ◽  
Best Corrected Visual Acuity

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.

Laser in situ Keratomileusis Improves Visual Acuity in Some Adult Eyes With Amblyopia

2004 ◽  
Vol 20 (1) ◽  
pp. 25-28 ◽  
Author(s):  
Irina S Barequet ◽  
Tamara Wygnanski-Jaffe ◽  
Ami Hirsh
Keyword(s):  
Visual Acuity ◽  
Laser In Situ Keratomileusis

Alcohol and Mechanical Scraping for Epithelial Ingrowth Following Laser in situ Keratomileusis

2005 ◽  
Vol 21 (2) ◽  
pp. 148-151 ◽  
Author(s):  
William J Lahners ◽  
David R Hardten ◽  
Richard L Lindstrom
Keyword(s):  
Laser In Situ Keratomileusis ◽  
Epithelial Ingrowth

Bioptics for high hyperopia with combined multifocal intraocular lens implantation and excimer ablation in young patients

2018 ◽  
Vol 29 (4) ◽  
pp. 426-430 ◽  
Author(s):  
Omer Trivizki ◽  
David Smadja ◽  
Michael Mimouni ◽  
Samuel Levinger ◽  
Eliya Levinger
Keyword(s):  
Visual Acuity ◽  
Intraocular Lens ◽  
Laser In Situ Keratomileusis ◽  
Intraocular Lens Implantation ◽  
Multifocal Intraocular Lens ◽  
Distance Visual Acuity ◽  
Lens Implantation ◽  
Near Visual Acuity ◽  
High Hyperopia

Purpose:To analyze the visual and refractive outcome of the bioptics procedure combining multifocal intraocular lens implantation and excimer laser surgery in young patients with high hyperopic eyes not suitable for a single surgical procedure.Methods:This retrospective case series included 10 eyes of five patients (age range 18–30 years) with high hyperopia (spherical equivalent +8.51 ± 0.85 diopters (D)). They had been treated with serial multifocal intraocular lens implantation followed 6 weeks later by laser in situ keratomileusis for residual hyperopia. Uncorrected distance visual acuity, uncorrected near visual acuity, corrected distance visual acuity, corrected near visual acuity, and manifest refraction were evaluated before surgeries, after multifocal intraocular lens implantation, and 3 months post laser in situ keratomileusis.Results:No patients were lost to follow-up (6 months). The mean spherical equivalent decreased to +2.05 ± 1.33 D after multifocal intraocular lens implantation and to −0.10 ± 0.58 D after the laser in situ keratomileusis procedure. Success of the procedures was determined by uncorrected visual acuity. LogMAR uncorrected distance visual acuity improved by a total of more than six lines from 1.05 ± 0.18 LogMAR to 0.46 ± 0.12 LogMAR post multifocal intraocular lens implantation and to 0.15 ± 0.06 LogMAR after both surgeries. The LogMAR uncorrected near visual acuity increased by 0.81 ± 0.82 LogMAR after lens implantation due to loss of accommodation, and all eyes reached a LogMAR of 0 at 1 month postoperatively following laser in situ keratomileusis.Conclusions:A bioptics approach involving multifocal intraocular lens followed 6 weeks later by a laser in situ keratomileusis procedure for the correction of very high hyperopia enabled the resolution of the residual refractive error in young very high hyperopic patients.

Amniotic membrane as a biologic pressure patch for treating epithelial ingrowth under a damaged laser in situ keratomileusis flap

2006 ◽  
Vol 32 (1) ◽  
pp. 162-165 ◽  
Author(s):  
Eun Suk Lee ◽  
Hyung Keun Lee ◽  
Stephen M. Cristol ◽  
Seong Chin Kim ◽  
Moo Il Lee ◽  
...  
Keyword(s):  
Amniotic Membrane ◽  
Laser In Situ Keratomileusis ◽  
Epithelial Ingrowth

Effect of laser in situ keratomileusis correction on contrast visual acuity

2001 ◽  
Vol 27 (3) ◽  
pp. 357-361 ◽  
Author(s):  
Kunihiko Nakamura ◽  
Hiroko Bissen-Miyajima ◽  
Ikuko Toda ◽  
Yoshiko Hori ◽  
Kazuo Tsubota
Keyword(s):  
Visual Acuity ◽  
Laser In Situ Keratomileusis
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