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Scleral buckling can incite LASIK flap detachment: case report
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NAGOYA, Japan — Scleral buckling in patients after LASIK could inadvertently detach the stromal flap, a recent case report indicates.
Eiji Sakurai, MD, reported in the August issue of Ophthalmology a patient who came to his clinic with a rhegmatogenous retinal detachment with a inferior nasal horseshoe tear at the equator.
According to the report, a scleral buckling procedure was performed, during which the surgeons were careful not to debride the corneal epithelium. The corneal flap became detached approximately 20 minutes into the operation, except for the hinge at the upper edge. After conclusion of the retinal surgery, the corneal flap was carefully raised, and the exposed corneal stroma was cleansed with balanced salt solution.
The authors could not identify the exact reason for the flap dehiscence, but speculated that control sutures for the rectus muscles could have damaged the flap when the globe was moved.