Post-LASIK corneal flap displacement following penetrating keratoplasty for bullous keratopathy.
Cornea
; 24(7): 874-8, 2005 Oct.
Article
en En
| MEDLINE
| ID: mdl-16160509
ABSTRACT
OBJECTIVE:
To report 3 patients who experienced late flap dislocation after laser in situ keratomileusis (LASIK) in eyes that had undergone prior penetrating keratoplasty (PKP) for bullous keratopathy.METHODS:
Retrospective chart review of 2 referral corneal and refractive surgery practices, case reports, and literature review.RESULTS:
Three patients (mean age 58.3 years, 2 male, 1 female), all status post-corneal transplant for bullous keratopathy, had residual myopic astigmatism and underwent LASIK for correction of their significant anisometropia. Flap dislocation occurred at a mean of 7 days (range 3 to 14 days) following the LASIK procedure. All patients had peripheral corneal edema in their recipient bed. All 3 patients required an additional surgical procedure for visual rehabilitation.CONCLUSION:
Flap displacement may occur following LASIK in patients who have undergone PKP for bullous keratopathy. The endothelial pump function, which is vital to maintaining flap adherence, may be compromised in these patients. We suggest that patients with a history of PKP and endothelial compromise who undergo LASIK wear protective shields for a longer than normal period and be followed closely to reduce the risk of flap slippage.
Buscar en Google
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Complicaciones Posoperatorias
/
Colgajos Quirúrgicos
/
Dehiscencia de la Herida Operatoria
/
Queratoplastia Penetrante
/
Enfermedades de la Córnea
/
Sustancia Propia
/
Queratomileusis por Láser In Situ
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Límite:
Adult
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Cornea
Año:
2005
Tipo del documento:
Article
País de afiliación:
Estados Unidos