Partial Scleral Rupture Presenting 4 Years After Laser in Situ Keratomileusis

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)498-501
Number of pages4
JournalCornea
Volume38
Issue number4
DOIs
StatePublished - Apr 1 2019

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Laser In Situ Keratomileusis
Rupture
Astigmatism
Blister
Cornea
Signs and Symptoms
Inflammation
Pregnancy

ASJC Scopus subject areas

  • Ophthalmology

Cite this

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title = "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.",
author = "LaMattina, {Kara C.} and Feder, {Robert S} and Koreishi, {Anjum Faruk} and Goldstein, {Debra Anne}",
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Partial Scleral Rupture Presenting 4 Years After Laser in Situ Keratomileusis. / LaMattina, Kara C.; Feder, Robert S; Koreishi, Anjum Faruk; Goldstein, Debra Anne.

In: Cornea, Vol. 38, No. 4, 01.04.2019, p. 498-501.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Partial Scleral Rupture Presenting 4 Years After Laser in Situ Keratomileusis

AU - LaMattina, Kara C.

AU - Feder, Robert S

AU - Koreishi, Anjum Faruk

AU - Goldstein, Debra Anne

PY - 2019/4/1

Y1 - 2019/4/1

N2 - 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.

AB - 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.

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