Late-onset traumatic corneal flap dislocation and secondary epithelial ingrowth 24 years after LASIK
Purpose: To analyze the diagnostic process, treatment, and post-operative outcomes of a unique case involving a late-onset (24 years post) traumatic corneal flap displacement after Laser-assisted in situ keratomileusis (LASIK) surgery due to a plant-related trauma. with an emphasis on the accompanyi...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | American Journal of Ophthalmology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993624001907 |
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| author | Xu Zhang Huixian Wang Xiaowei Gao Wenjing Li |
| author_facet | Xu Zhang Huixian Wang Xiaowei Gao Wenjing Li |
| author_sort | Xu Zhang |
| collection | DOAJ |
| description | Purpose: To analyze the diagnostic process, treatment, and post-operative outcomes of a unique case involving a late-onset (24 years post) traumatic corneal flap displacement after Laser-assisted in situ keratomileusis (LASIK) surgery due to a plant-related trauma. with an emphasis on the accompanying extensive epithelial ingrowth beneath the flap. Observations: A 59-year-old male patient experienced corneal flap displacement 24 years post-LASIK due to a minor plant-related trauma. This case was complicated by extensive epithelial ingrowth beneath the flap, which was initially misdiagnosed with fungal keratitis. Upon identification of the actual cause, corneal flap repair surgery was performed, leading to partial vision recovery. Conclusions and importance: This case signifies the potential for LASIK flap displacement even decades post-surgery due to minor traumas and highlights the need for vigilance in diagnosing associated complications like epithelial ingrowth. It indicates the importance of ophthalmologists and clinicians being vigilant for such complications and necessitates their familiarity with basic management techniques or quick referral to a corneal refractive surgery specialist. This report of a 24-year interval between LASIK and traumatic flap displacement with epithelial ingrowth is one of the longest known. The case also demonstrates that patients with late flap displacement can regain significant visual acuity with timely and appropriate management. |
| format | Article |
| id | doaj-art-6cdd48ce9c5b4aa3840923e6d5f7968c |
| institution | Kabale University |
| issn | 2451-9936 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj-art-6cdd48ce9c5b4aa3840923e6d5f7968c2024-12-18T08:50:42ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362024-12-0136102180Late-onset traumatic corneal flap dislocation and secondary epithelial ingrowth 24 years after LASIKXu Zhang0Huixian Wang1Xiaowei Gao2Wenjing Li3Ophthalmology Department, Xinjiang 474 Hospital, Urumqi, 830011, Xinjiang Autonomous Region, ChinaOphthalmology Department, Xinjiang 474 Hospital, Urumqi, 830011, Xinjiang Autonomous Region, ChinaOphthalmology Department, Xinjiang 474 Hospital, Urumqi, 830011, Xinjiang Autonomous Region, ChinaCorresponding author.; Ophthalmology Department, Xinjiang 474 Hospital, Urumqi, 830011, Xinjiang Autonomous Region, ChinaPurpose: To analyze the diagnostic process, treatment, and post-operative outcomes of a unique case involving a late-onset (24 years post) traumatic corneal flap displacement after Laser-assisted in situ keratomileusis (LASIK) surgery due to a plant-related trauma. with an emphasis on the accompanying extensive epithelial ingrowth beneath the flap. Observations: A 59-year-old male patient experienced corneal flap displacement 24 years post-LASIK due to a minor plant-related trauma. This case was complicated by extensive epithelial ingrowth beneath the flap, which was initially misdiagnosed with fungal keratitis. Upon identification of the actual cause, corneal flap repair surgery was performed, leading to partial vision recovery. Conclusions and importance: This case signifies the potential for LASIK flap displacement even decades post-surgery due to minor traumas and highlights the need for vigilance in diagnosing associated complications like epithelial ingrowth. It indicates the importance of ophthalmologists and clinicians being vigilant for such complications and necessitates their familiarity with basic management techniques or quick referral to a corneal refractive surgery specialist. This report of a 24-year interval between LASIK and traumatic flap displacement with epithelial ingrowth is one of the longest known. The case also demonstrates that patients with late flap displacement can regain significant visual acuity with timely and appropriate management.http://www.sciencedirect.com/science/article/pii/S2451993624001907LasikCorneal flap dislocationEpithelial ingrowth |
| spellingShingle | Xu Zhang Huixian Wang Xiaowei Gao Wenjing Li Late-onset traumatic corneal flap dislocation and secondary epithelial ingrowth 24 years after LASIK American Journal of Ophthalmology Case Reports Lasik Corneal flap dislocation Epithelial ingrowth |
| title | Late-onset traumatic corneal flap dislocation and secondary epithelial ingrowth 24 years after LASIK |
| title_full | Late-onset traumatic corneal flap dislocation and secondary epithelial ingrowth 24 years after LASIK |
| title_fullStr | Late-onset traumatic corneal flap dislocation and secondary epithelial ingrowth 24 years after LASIK |
| title_full_unstemmed | Late-onset traumatic corneal flap dislocation and secondary epithelial ingrowth 24 years after LASIK |
| title_short | Late-onset traumatic corneal flap dislocation and secondary epithelial ingrowth 24 years after LASIK |
| title_sort | late onset traumatic corneal flap dislocation and secondary epithelial ingrowth 24 years after lasik |
| topic | Lasik Corneal flap dislocation Epithelial ingrowth |
| url | http://www.sciencedirect.com/science/article/pii/S2451993624001907 |
| work_keys_str_mv | AT xuzhang lateonsettraumaticcornealflapdislocationandsecondaryepithelialingrowth24yearsafterlasik AT huixianwang lateonsettraumaticcornealflapdislocationandsecondaryepithelialingrowth24yearsafterlasik AT xiaoweigao lateonsettraumaticcornealflapdislocationandsecondaryepithelialingrowth24yearsafterlasik AT wenjingli lateonsettraumaticcornealflapdislocationandsecondaryepithelialingrowth24yearsafterlasik |