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Partial Scleral Rupture Presenting 4 Years After Laser in Situ Keratomileusis

LaMattina, Kara C., MD*,†; Feder, Robert S., MD*; Koreishi, Anjum F., MD*; Goldstein, Debra A., MD*

doi: 10.1097/ICO.0000000000001850
Case Report
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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.

*Department of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, IL; and

Department of Ophthalmology, Boston University School of Medicine, Boston, MA.

Correspondence: Debra A. Goldstein, Northwestern University Feinberg School of Medicine, 645 N. Michigan Avenue, Suite 440, Chicago, IL 60611 (e-mail: debrgold@yahoo.com).

The authors have no funding or conflicts of interest to disclose.

Received September 18, 2018

Accepted November 16, 2018

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