Laser in situ keratomileusis (LASIK) is a promising refractive surgical
procedure for low to high myopia. Its advantages over photorefractive keratectomy
(PRK) include prompt visual recovery, increased patient comfort, potential
to correct high myopia, less postoperative haze and regression, and less postoperative
need for corticosteroids. Most LASIK-related complications occur intraoperatively
or early postoperatively. They include flap-related complications, corneal
perforation, corneal infection, macular hemorrhage, interface deposits, epithelial
ingrowth, and irregular astigmatism.1-4
LASIK is performed by creating a lamellar flap followed by excimer laser application.
The force that the residual untreated cornea could resist decreases as a result
of "thinner" stromal bed. Displacement of the lamellar flap following minor
blunt trauma after LASIK has been described in the literature.5
We herein present a case of blunt ocular injury related to corneal perforation
in association with traumatic cataract 10 months after successful bilateral
LASIK surgery.