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Oculoplastics

Cornea & External Diseases

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Surgery & Complications
Dry eye post LASIK surgery.

  • Very common complaint post LASIK surgery.
  • Regarded as caused by decreased corneal sensation due to disruption of corneal nerves during the flap creation.
  • Worse with superior hinge flap as opposed to nasal hinge flap.
  • Clinical features:
    • Symptoms:
      • Mild to debilitating dry eye
      • Mild to severe blurry vision
    • Signs: superficial punctate keratopathy.
  • Management:
    • Surface lubrication.
    • Punctal plug for refractory cases.


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