DR.MANPREET KAUR

DR. SRIDEVI NAIR, DR. J. S. TITIYAL

Abstract

To report a case of longstanding post-LASIK flap dislocation treated with flap amputation and ingrowth removal

Methods

A 26-year post-LASIK patient presented with longstanding post-traumatic flap dislocation and epithelial ingrowth in OD. UDVA and BSCVA in OD were 20/200 and 20/120. Increased corneal surface irregularity and raised corneal HOAs were observed on Pentacam and ray-tracing aberrometry. Patient was unsuitable for refloatation due to fixed flap folds and underwent flap amputation with ingrowth removal.

Result

UDVA and BSCVA was 20/30 and 20/32 at 1 week, maintained up to 1 year, with an acceptance of -0.75DC*1590. The corneal topography showed an improvement in topometric indices of asymmetry and irregularity. The ocular aberration profile showed a reduction in the corneal HOAs, coma, trefoil and secondary astigmatism

Conclusion

Flap amputation is a viable treatment modality longstanding flap dislocation with co-existing epithelial ingrowth unamenable to flap refloatation