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Ganger A, Tandon R, Vanathi M, et al. Superficial Anterior Lamellar Keratoplasty (SALK) for Trauma-induced Post Refractive Surgery Corneal Opacity. J Ophthalmic Vis Res. 2016;11(3):326-8doi: 10.4103/2008-322X.188394.
Ganger, A., Tandon, R., Vanathi, M., & Sagar, P. (2016). Superficial Anterior Lamellar Keratoplasty (SALK) for Trauma-induced Post Refractive Surgery Corneal Opacity. Journal of ophthalmic & vision research, 11(3), 326-8. https://doi.org/10.4103/2008-322X.188394
Ganger, Anita, et al. "Superficial Anterior Lamellar Keratoplasty (SALK) for Trauma-induced Post Refractive Surgery Corneal Opacity." Journal of ophthalmic & vision research vol. 11,3 (2016): 326-8. doi: https://doi.org/10.4103/2008-322X.188394
Ganger A, Tandon R, Vanathi M, Sagar P. Superficial Anterior Lamellar Keratoplasty (SALK) for Trauma-induced Post Refractive Surgery Corneal Opacity. J Ophthalmic Vis Res. 2016 Jul-Sep;11(3):326-8. doi: 10.4103/2008-322X.188394. PMID: 27621794; PMCID: PMC5000539.
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J Ophthalmic Vis Res. 2016 Jul-Sep;11(3):326-8. doi: 10.4103/2008-322X.188394.

Superficial Anterior Lamellar Keratoplasty (SALK) for Trauma-induced Post Refractive Surgery Corneal Opacity.

Journal of ophthalmic & vision research

Anita Ganger, Radhika Tandon, M Vanathi, Pardeep Sagar

Affiliations

  1. Cornea, Refractive and Ocular Surface Rehabilitation Services Unit, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

PMID: 27621794 PMCID: PMC5000539 DOI: 10.4103/2008-322X.188394

Abstract

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.

Keywords: Descemet Folds; Flap Dehiscence; Laser in situ Keratomileusis; Superficial Anterior Lamellar Keratoplasty

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