Successful Delayed Surgical Revision of a Dislocated LASIK Flap
Abstract
<P>A 53-year-old woman presented with decreased vision and light sensitivity in the left eye for 3 months’ duration. The patient had injured her left eye 7 months after laser in situ keratomileusis (LASIK), causing a traumatic flap dislocation that had not been repositioned. Three months after the injury, the LASIK flap was successfully repositioned with extensive intraoperative epithelial debridement and the use of flap sutures. Uncorrected visual acuity improved from 20/200 and J12 preoperatively to 20/60 and J1 postoperatively. This case illustrates that, although immediate flap repositioning is always recommended, a dislocated LASIK flap can be successfully repositioned even months after the trauma with an excellent visual outcome. [<cite>Ophthalmic Surg Lasers Imaging</cite> 2008;39:221-224.]</P> <H4>AUTHORS</H4> <P>From the Department of Ophthalmology (JBD, JBR), Emory University; and Emory Vision (JBR), Atlanta, Georgia.</P> <P>Accepted for publication December 4, 2007.</P> <P>Supported in part by Research to Prevent Blindness, Inc., New York, New York, and the National Institutes of Health Core Grant P30 EYO6360, Bethesda, Maryland.</P> <P>Address correspondence to J. Bradley Randleman, MD, 1365 B Clifton Road NE, Suite 4500, Atlanta, GA 30322.</P>
