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Flap amputation for long-standing post-LASIK flap dislocation with epithelial ingrowth.
Nair, Sridevi; Kaur, Manpreet; Bari, Aafreen; Titiyal, Jeewan S.
  • Nair S; Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
  • Kaur M; Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
  • Bari A; Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
  • Titiyal JS; Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India titiyal@gmail.com.
BMJ Case Rep ; 15(2)2022 Feb 08.
Article in English | MEDLINE | ID: covidwho-1723593
ABSTRACT
A man aged 26 years presented with complaints of diminution of vision in his right eye for 1 year following a fist injury. He had a history of laser-assisted in situ keratomileusis in both eyes 5 years earlier. On examination, his uncorrected distance visual acuity (UDVA) in the right eye was 1.0 logMAR. Slit-lamp examination of the right eye revealed a superotemporal dislocation of the flap with coexisting epithelial ingrowth encroaching the pupillary area. Due to the presence of long-standing fixed flap folds, a flap amputation was performed along with removal of the epithelial ingrowth using 0.02% mitomycin C as adjunct. Postoperatively, the UDVA was 0.3 logMAR on day 1, which improved to 0.2 logMAR at 1 week. At 1 year, the UDVA was 0.2 logMAR improving to 0.1 logMAR with refraction, with minimal paracentral corneal haze and no signs of corneal ectasia.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Epithelium, Corneal / Keratomileusis, Laser In Situ Type of study: Case report / Prognostic study Limits: Adult / Humans / Male Language: English Year: 2022 Document Type: Article Affiliation country: Bcr-2021-247068

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Epithelium, Corneal / Keratomileusis, Laser In Situ Type of study: Case report / Prognostic study Limits: Adult / Humans / Male Language: English Year: 2022 Document Type: Article Affiliation country: Bcr-2021-247068