DOI: 10.25881/20728255_2024_19_4_S1_71

Authors

Turygina N.A., Belogurova A.V., Antonyuk S.V.

Ophthalmological clinic «Yasno Vizhu», Moscow

Abstract

FemtoLASIK is a frequently performed refractive surgery, one of the complications of which is flap dislocation. Most often, this condition is accompanied by decreased vision, pain, lacrimation, which makes patients immediately visit ophthalmologist. This article describes a case of a patient who came to the clinic only on the fourth day after the flap displacement due to blunt eye trauma. By this time, the patient’s corneal flap had significant edema, was folded and displaced with exposure of the stromal bed, which was epithelialized over 2/3 of the area. The surgical treatment of this patient with restoration of anatomical structures, as well as visual functions exceeding the maximum-corrected at the preoperative stage is presented. The treatment provided a stable result for 15 months after the performed reposition.

Keywords: dislocation; flap; femtoLASIK, reposition.

References

1. Sahay P, Bafna RK, Reddy JC, Vajpayee RB, Sharma N. Complications of laser-assisted in situ keratomileusis. Indian J Ophthalmol. 2021 Jul;69(7):1658-1669.

2. Shah DN, Melki S. Complications of femtosecond-assisted laser in-situ keratomileusis flaps. Semin Ophthalmol. 2014;29:363h DN.

3. Moshirfar M, Gardiner JP, Schliesser JA, Espandar L, Feiz V, Mifflin MD, et al. Laser in situ keratomileusis flap complications using mechanical microkeratome versus femtosecond laser:Retrospective comparison. J Cataract Refract Surg. 2010;36:1925riso.

4. Clare G, Moore TCB, Grills C, Leccisotti A, Moore JE, Schallhorn S. Early flap displacement after LASIK. Ophthalmology. 2011;118:1760e G.

5. Galvis V, Tello A, Guerra AR, Rey JJ, Camacho PA. Risk factors and visual results in cases of LASIK flap repositioning due to folds or dislocation:Case series and literature review. Int Ophthalmol. 2014;34:19ies.

For citation

Turygina N.A., Belogurova A.V., Antonyuk S.V. A clinical case of successful surgical treatment of a late-presenting patient with traumatic flap dislocation after FemtoLASIK. Bulletin of Pirogov National Medical & Surgical Center. 2024;19(4,supplement):71-73. (In Russ.) https://doi.org/10.25881/20728255_2024_19_4_S1_71