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Intraoperative LASIK flap bullous detachment during intraocular lens exchange. Shannon Wong, MD. 

Shannon Wong, MD
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We present an unusual case of stromal hydration of the primary incision resulting in a bullous fluid detachment of the LASIK flap and LASIK corneal bed at the conclusion of an intraocular lens exchange surgery.
OCT (optical coherence tomography) imaging of the cornea documents the fluid separation of the LASIK flap and corneal bed.
30 ga needle decompression of the LASIK flap resulted in resolution of the detachment.
Postop OCT imaging shows a normal cornea.
The patient healed normally without any adverse effects.
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28 сен 2024

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Комментарии : 14   
@Amimegrisi
@Amimegrisi 4 месяца назад
that was interesting! how old is the patient and when did they have the Laser eye surgery?
@dawsonhays
@dawsonhays 3 месяца назад
PLEASE HELP. I am 24 years old and am approaching 1 year post-op for my cataract surgery. Both eyes have a Panoptix lens (Toric in the right). My vision was great right after but quickly fogged up and the doctor called for a YAG. I also had lasik to touch up acuity this January. Since my YAGs, I now have starbursts and a streak/shimmer that follows my eyes wherever they move. My quality of vision and life have greatly diminished. These issues did not exist until after the YAG procedure. All tests from both the ophthalmologists and retina professionals say my eyes are perfect and the surgeries were a complete success. I understand that lens exchanges can be done post-YAG but carry additional risks. I have seen a retina specialist who said my vitreous is very well attached to the retina. Is it worth considering a replacement at this time? I don’t want to wait so long that it adds even more complications, but don’t want to go through the surgeries again if I can neuro-adapt.
@CarmelJones-de3kp
@CarmelJones-de3kp 4 месяца назад
That is so incredible Congratulations and you are very dedicated to your work l so blown away by your talent ,yes talent and never giving up helping everyone you see or has the opportunity to see you ! Regards
@ariplatt8192
@ariplatt8192 4 месяца назад
Why you puncture the main wound??
@santiagoblandon3022
@santiagoblandon3022 4 месяца назад
To drain the fluid between the stromal bed and flap
@ariplatt8192
@ariplatt8192 4 месяца назад
@@santiagoblandon3022I don’t see it.
@Antroid1
@Antroid1 4 месяца назад
You meant at the end of the cataract surgery? I reckon the main incision didn’t seal up well so he used a technique where you make a pocket next to the main wound and hydrate that so it seals up the main wound. Lesson here is don’t do that in a post-LASIK cornea, I guess. Suturing ftw.
@ariplatt8192
@ariplatt8192 4 месяца назад
@@Antroid1 I’ve never seen that technique. I would agree- just suture it
@bblv2
@bblv2 4 месяца назад
It happened to me once recently with much less fluid in the interface. I left it alone, and it disappeared on POD#1.
@SourabhPatwardhanPhacoTips
@SourabhPatwardhanPhacoTips 4 месяца назад
Interesting
@RamiAboShasha
@RamiAboShasha 4 месяца назад
Thanks for sharing this interesting and unique case.
@MohammedElMallah
@MohammedElMallah 4 месяца назад
Crazy case!
@SuperEye2eye
@SuperEye2eye 4 месяца назад
Thanks for sharing. Always something new eh. Good job taking the time to look at him right after! 👍
@K24718
@K24718 4 месяца назад
very interesting case. Thanks for sharing
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