Author/Authors :
Ganger, Anita Refractive and Ocular Surface Rehabilitation Services Unit - Dr. Rajendra Prasad Centre for Ophthalmic Sciences - All India Institute of Medical Sciences, New Delhi, India , Tandon, Radhika Refractive and Ocular Surface Rehabilitation Services Unit - Dr. Rajendra Prasad Centre for Ophthalmic Sciences - All India Institute of Medical Sciences, New Delhi, India , Vanathi, M Refractive and Ocular Surface Rehabilitation Services Unit - Dr. Rajendra Prasad Centre for Ophthalmic Sciences - All India Institute of Medical Sciences, New Delhi, India , Sagar, Pardeep Refractive and Ocular Surface Rehabilitation Services Unit - Dr. Rajendra Prasad Centre for Ophthalmic Sciences - All India Institute of Medical Sciences, New Delhi, India
Abstract :
Purpose: To report a case of post laser in situ keratomileusis (LASIK), nebulomacular corneal opacity
following a trauma induced flap dehiscence and was managed with superficial anterior lamellar keratoplasty
(SALK).
Case Report: A 32‑year‑old female underwent LASIK 2.5 years back, with a postoperative unaided visual
acuity (VA) of 6/6 in both eyes. She was involved in a road traffic accident and sustained blunt trauma to the
right eye 5 months before. At the time of presentation, the VA was 1/60 in the right eye. Slit lamp examination
revealed flap dehiscence, stromal scar and descemet folds in that eye. There was a small macular scar in the
parafoveal area due to a resolved Berlin’s edema. SALK was performed in the affected eye. Unaided VA
of 6/36 was noted on post‑ operative day 1. After 4 weeks of SALK surgery, best corrected VA was 6/24.
Conclusion: This case highlights that flap adhesions are not very strong even years after LASIK and SALK
may be an effective treatment option for post refractive surgery corneal opacities.
Keywords :
Descemet Folds , Flap Dehiscence , Laser in situ Keratomileusis , Superficial Anterior Lamellar Keratoplasty
