Document Detail


Unusual complication after laser in situ keratomileusis: eyelash under the flap.
MedLine Citation:
PMID:  17321409     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a 70-year-old man who had uneventful laser in situ keratomileusis (LASIK) to correct the refractive error in the right eye. The patient returned 5 weeks later complaining of irritation and pain in that eye. Examination revealed an eyelash under the edematous LASIK flap with surrounding infiltrates. The anterior chamber was quiet. The flap was lifted and the eyelash removed. Epithelial cells were removed from the flap interface. Postoperatively, the patient developed a mild diffuse lamellar keratitis that resolved rapidly with topical corticosteroid treatment. At 5 months, the uncorrected visual acuity was 20/20(-2), with mild haze in the inferior interface. Large, visually significant foreign bodies under a LASIK flap should be promptly removed for a good visual outcome. To our knowledge, this is the first report of a post-LASIK complication due to an eyelash under the flap.
Authors:
James Chuan-Hsin Pan; Geoffrey James Crawford
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of cataract and refractive surgery     Volume:  33     ISSN:  0886-3350     ISO Abbreviation:  J Cataract Refract Surg     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-02-26     Completed Date:  2007-04-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8604171     Medline TA:  J Cataract Refract Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  540-1     Citation Subset:  IM    
Affiliation:
Eye Institute, National Healthcare Group, Tan Tock Seng Hospital, Singapore. james_pan@ttsh.com.sg
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MeSH Terms
Descriptor/Qualifier:
Aged
Astigmatism / surgery
Corneal Stroma / pathology*,  surgery
Eye Foreign Bodies / diagnosis,  etiology*,  surgery
Eyelashes*
Foreign-Body Reaction / diagnosis,  etiology*,  surgery
Humans
Keratomileusis, Laser In Situ / adverse effects*
Male
Reoperation
Surgical Flaps / pathology*
Visual Acuity

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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