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J Cataract Refract Surg. 2009 Jun;35(6):1134-7. doi: 10.1016/j.jcrs.2009.01.033.

Visual acuity recovery after late traumatic femtosecond laser in situ keratomileusis flap loss.

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  • 1Naval Hospital Camp Pendleton, Camp Pendleton, and the Naval Medical Center San Diego, San Diego, California, USA.


We report a case of traumatic flap loss from a fingernail 2 months after femtosecond laser-assisted laser in situ keratomileusis. On presentation, the patient's uncorrected visual acuity (UCVA) was 20/400 and complete flap avulsion was noted. Irrigation and treatment with mitomycin-C were done immediately, and a bandage contact lens was inserted. The epithelium healed completely over 1 week. One month after the injury, the UCVA was 20/15(-2). This case illustrates an excellent outcome from a potentially devastating event following refractive surgery in a military member.

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