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| OPHTHALMIC IMAGE |
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| Year : 2022 | Volume
: 2
| Issue : 1 | Page : 303 |
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Flappergasted!
Anuja K Desai1, Parin Mehta2
1 Cornea and Refractive Surgeon, Ahmedabad, Gujarat, India
2 Glaucoma Consultant, KD Hospital, Ahmedabad, Gujarat, India
| Date of Web Publication | 07-Jan-2022 |
Correspondence Address:
Dr. Anuja K Desai
Cornea and Refractive Surgeon, Kusum Dhirajlal Hospital, Ahmedabad, Gujarat
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijo.IJO_1749_21
How to cite this article:
Desai AK, Mehta P. Flappergasted!. Indian J Ophthalmol Case Rep 2022;2:303 |
A 19-year-old female underwent uneventful laser refractive correction (LASIK) with a nasal hinge in February 2020. Nine months after the procedure, the patient was accidentally struck in the right eye with a child's fingernail. On examination, the uncorrected distance visual acuity (UCVA) was 6/18. Slit-lamp examination revealed LASIK flap dehiscence from 7 to 12 clock hours with the flap folded backward [Figure 1]. No other clinical signs of trauma were noted. The flap was lifted, undersurface debris was cleared, and repositioning with ironing was done using balanced salt solution under topical anesthesia. Bandage contact lens was placed. The final UCVA was 6/6 with a well-attached flap. Delayed flap dehiscence is a known phenomenon with diffuse lamellar keratitis and epithelial ingrowth being the most common aftereffects.[1],[2]
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | Cheng AC, Rao SK, Leung GY, Young AL, Lam DS. Late traumatic flap dislocations after LASIK. J Refract Surg 2006;22:500-4.  |
| 2. | Christiansen G, Maguire LJ, Baratz KH. Late LASIK flap dehiscence after minor trauma. Invest Ophthalmol Vis Sci 2003;44:2681. |
[Figure 1]
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