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CASE REPORT
Year : 2020  |  Volume : 68  |  Issue : 12  |  Page : 3045-3047

Non adherence of flap following microkeratome-assisted laser-assisted in situ keratomileusis: A case report and review of literature


Cornea Centre, Chandigarh, India

Correspondence Address:
Dr. Ashok Sharma
Dr Ashok Sharma's Cornea Centre, SCO 2463-2464, Sector 22C, Chandigarh - 160 022
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1525_20

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A 28-year-old male underwent microkeratome assisted Laser-assisted in situ keratomileusis (LASIK) for, myopia. On postoperative day 1, patient had a large epithelial defect in OD. The corneal epithelial defect healed within 72 hours, but sub-optimal vision persisted. The patient was referred for further management to us. On evaluation, patient had non-healing of flap margin at 5 o'clock. Fluoroscein stain revealed no corneal epithelial defect, but a large pool of dye beneath the LASIK flap. A clinical diagnosis of non-adherence of LASIK flap was considered. Application of bandage contact lens was done. LASIK flap completely healed in 1 week. Possible etiologies are discussed and literature is reviewed.


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