%0 Case Reports
%T Non adherence of flap following microkeratome-assisted laser-assisted in situ keratomileusis: A case report and review of literature.
%A Sharma A
%A Sharma R
%J Indian J Ophthalmol
%V 68
%N 12
%D Dec 2020
%M 33229701
%F 2.969
%R 10.4103/ijo.IJO_1525_20
%X A 28-year-old male underwent microkeratome assisted Laser-assisted in situ keratomileusis (LASIK) for, myopia. On postoperative day 1, patient had a large epithelial defect in OD. The corneal epithelial defect healed within 72 hours, but sub-optimal vision persisted. The patient was referred for further management to us. On evaluation, patient had non-healing of flap margin at 5 o'clock. Fluoroscein stain revealed no corneal epithelial defect, but a large pool of dye beneath the LASIK flap. A clinical diagnosis of non-adherence of LASIK flap was considered. Application of bandage contact lens was done. LASIK flap completely healed in 1 week. Possible etiologies are discussed and literature is reviewed.