Late Postoperative Traumatic Flap Loss

Purpose: Traumatic loss of a corneal flap is a serious complication because severe irregular astigmatism and unpredictable refractive change can occur. We describe the clinical course of a case of late postoperative LASIK flap loss occurring during contact sports. Materials and Methods: The patient was a 39-year-old man with –7.50–0.25×42 (OD), and –7.25–0.50×164 (OS), for a best-corrected visual acuity (BCVA) of 20/20 OU. Pachymetry was 580 and 575 microns in OD and OS, respectively. Flaps with a superior hinge were cut before laser ablation. Eleven months later, BCVA was 20/20 in both eyes, with –0.50×15 (OD),…