Partial Scleral Rupture Presenting 4 Years After Laser in Situ Keratomileusis.

Abstract:

PURPOSE:To report a case of partial scleral rupture after laser in situ keratomileusis (LASIK) surgery. METHODS:This is a retrospective case report describing a late complication of LASIK surgery. RESULTS:A 32-year-old white woman with a history of LASIK surgery performed with a mechanical microkeratome 4 years previously presented for evaluation of partial bilateral scleral ruptures. An arcuate filtering bleb along the contour of the cornea was found on the right eye with associated hypotony and corneal astigmatism. There were no signs or symptoms of prior inflammation, and rheumatologic workup was negative. Imaging revealed scleral microbreaks in the absence of adjacent thinning. CONCLUSIONS:The pattern and location of thinning without findings consistent with inflammatory disease suggest that the partial bilateral scleral rupture was because of mechanical damage at the time of LASIK, possibly compounded by the hormonal changes of pregnancy.

journal_name

Cornea

journal_title

Cornea

authors

LaMattina KC,Feder RS,Koreishi AF,Goldstein DA

doi

10.1097/ICO.0000000000001850

subject

Has Abstract

pub_date

2019-04-01 00:00:00

pages

498-501

issue

4

eissn

0277-3740

issn

1536-4798

journal_volume

38

pub_type

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