Late Onset Flap Scarring After Laser in Situ Keratomileusis

Abstract

A 55-year-old man had uneventful simultaneous LASIK. Seven months postoperatively, the patient came with complaints of a decrease in vision, photophobia, tearing, discomfort, and red eye during the last 2 weeks in the left eye. Suspicion was foreign body hit. Despite steroid treatment, the clinical outcome didnt improve. Eight months postoperatively, slit-lamp examination revealed thinning and scarring in the center of the flap in the central cornea. The left eyes best corrected visual acuity was 20/32. The patient underwent a surgical procedure of trephining of the scarred flap and using Mitomycin C 0.02%. At the final examination after 18 months the BCVA was 20/25. This is the first report on late central corneal scarring after LASIK. Trephinization of the scarred flap can restore visual acuity.




J Med Cases. 2011;2(6):255-259
doi: https://doi.org/10.4021/jmc279w