Superficial anterior lamellar keratoplasty (salk) for trauma-induced post refractive surgery corneal opacity

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 postoperat...

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Main Authors: Anita Ganger, Radhika Tandon, M Vanathi, Pardeep Sagar
Format: Article
Language:English
Published: Knowledge E 2016-01-01
Series:Journal of Ophthalmic & Vision Research
Subjects:
Online Access:http://www.jovr.org/article.asp?issn=2008-322X;year=2016;volume=11;issue=3;spage=326;epage=328;aulast=Ganger
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author Anita Ganger
Radhika Tandon
M Vanathi
Pardeep Sagar
author_facet Anita Ganger
Radhika Tandon
M Vanathi
Pardeep Sagar
author_sort Anita Ganger
collection DOAJ
description 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.
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spelling doaj.art-704d3e872fbd49b09f732a67379a78d42022-12-22T02:42:28ZengKnowledge EJournal of Ophthalmic & Vision Research2008-322X2016-01-0111332632810.4103/2008-322X.188394Superficial anterior lamellar keratoplasty (salk) for trauma-induced post refractive surgery corneal opacityAnita GangerRadhika TandonM VanathiPardeep SagarPurpose: 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.http://www.jovr.org/article.asp?issn=2008-322X;year=2016;volume=11;issue=3;spage=326;epage=328;aulast=GangerDescemet Folds; Flap Dehiscence; Laser in situ Keratomileusis; Superficial Anterior Lamellar Keratoplasty
spellingShingle Anita Ganger
Radhika Tandon
M Vanathi
Pardeep Sagar
Superficial anterior lamellar keratoplasty (salk) for trauma-induced post refractive surgery corneal opacity
Journal of Ophthalmic & Vision Research
Descemet Folds; Flap Dehiscence; Laser in situ Keratomileusis; Superficial Anterior Lamellar Keratoplasty
title Superficial anterior lamellar keratoplasty (salk) for trauma-induced post refractive surgery corneal opacity
title_full Superficial anterior lamellar keratoplasty (salk) for trauma-induced post refractive surgery corneal opacity
title_fullStr Superficial anterior lamellar keratoplasty (salk) for trauma-induced post refractive surgery corneal opacity
title_full_unstemmed Superficial anterior lamellar keratoplasty (salk) for trauma-induced post refractive surgery corneal opacity
title_short Superficial anterior lamellar keratoplasty (salk) for trauma-induced post refractive surgery corneal opacity
title_sort superficial anterior lamellar keratoplasty salk for trauma induced post refractive surgery corneal opacity
topic Descemet Folds; Flap Dehiscence; Laser in situ Keratomileusis; Superficial Anterior Lamellar Keratoplasty
url http://www.jovr.org/article.asp?issn=2008-322X;year=2016;volume=11;issue=3;spage=326;epage=328;aulast=Ganger
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AT mvanathi superficialanteriorlamellarkeratoplastysalkfortraumainducedpostrefractivesurgerycornealopacity
AT pardeepsagar superficialanteriorlamellarkeratoplastysalkfortraumainducedpostrefractivesurgerycornealopacity