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 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. © 2016 journal of ophthalmic and vision research.