Paper Information

Journal:   JOURNAL OF OPHTHALMIC AND VISION RESEARCH   2016 , Volume 11 , Number 3; Page(s) 326 To 328.
 
Paper: 

SUPERFICIAL ANTERIOR LAMELLAR KERATOPLASTY (SALK) FOR TRAUMA-INDUCED POST REFRACTIVE SURGERY CORNEAL OPACITY (CASE REPORT)

 
 
Author(s):  GANGER ANITA*, TANDON RADHIKA, VANATHI M., SAGAR PARDEEP
 
* DR. RAJENDRA PRASAD CENTRE FOR OPHTHALMIC SCIENCES, ALL INDIA INSTITUTE OF MEDICAL SCIENCES, NEW DELHI-110 029, INDIA
 
Abstract: 

Purpose: To report a case of post laser in situ keratomileusis (LASIK), nebulomacular corneal opacity following a trauma induced flap dehiscence and was managed with superficial anterior lamellar keratoplasty (SALK).
Case Report: A 32?year?old female underwent LASIK 2.5 years back, with a postoperative unaided visual acuity (VA) of 6.6 in both eyes. She was involved in a road traffic accident and sustained blunt trauma to the right eye 5 months before. At the time of presentation, the VA was 1.60 in the right eye. Slit lamp examination revealed flap dehiscence, stromal scar and descemet folds in that eye. There was a small macular scar in the parafoveal area due to a resolved Berlin’s edema. SALK was performed in the affected eye. Unaided VA of 6.36 was noted on post? operative day 1. After 4 weeks of SALK surgery, best corrected VA was 6.24.
Conclusion: This case highlights that flap adhesions are not very strong even years after LASIK and SALK may be an effective treatment option for post refractive surgery corneal opacities.

 
Keyword(s): DESCEMET FOLDS, FLAP DEHISCENCE, LASER IN SITU KERATOMILEUSIS, SUPERFICIAL ANTERIOR LAMELLAR KERATOPLASTY
 
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