UNIVERSITY OPHTHALMOLOGY CONSULTANTS

 

CASE OF THE MONTH

CASE #22

 

 
OPHTHALMOLOGIC EXAMINATION (3 WEEKS AFTER LASIK SURGERY)
External Eye Examination    Mild eyelid swelling OU
 Moderate conjunctival injection, more severe OS than OD
   
Visual Acuity  OD: 20/200; Pinhole: 20/50
 OS: Counting fingers; Pinhole: no improvement
   
Intraocular pressure with applanation tonometry  OU: 8 mm Hg
   
Slit Lamp Examination

OD

  OD
 

 • Corneal flap in place
 • Mild corneal rubeosis extending 360 degrees
 • 5x4-mm infiltrate (arrow) in the flap interface at the 3-
 o’clock position with a 0.5-mm overlying epithelial defect
 • Deep anterior capsule with trace cells and flare
 • Clear lens and anterior vitreous

 
  OS
  OS
   • Marked conjunctival injection
 • Freely mobile, thickened corneal flap
 • 5x5-mm area of flap necrosis (arrow) extending from the  6-o’clock to the 10-o’clock position
 • Diffuse infiltrate
 • Limbal rubeosis
 • Clear lens and anterior vitreous
 

 

What is the preliminary diagnosis?
       
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