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Case Reports in Ophthalmological Medicine
Volume 2015, Article ID 127806, 3 pages
Case Report

Bilateral Iris Atrophy after the Femtosecond Assisted Laser In Situ Keratomileusis Surgery

1Department of Ophthalmology, Gumussuyu Military Hospital, 34100 Besiktas, Istanbul, Turkey
2Department of Ophthalmology, Golcuk Military Hospital, 41650 Golcuk, Kocaeli, Turkey
3Department of Ophthalmology, Gulhane Military Medical Academy Haydarpasa Training Hospital, 34668 Uskudar, Istanbul, Turkey

Received 23 April 2015; Accepted 4 June 2015

Academic Editor: Giacomo Savini

Copyright © 2015 Kenan Olcay et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. To report an unknown complication of laser in situ keratomileusis (LASIK) surgery. Case Presentation. A 28-year-old female presented with photophobia and glare to our eye service. She stated in her medical history that she had undergone femtosecond assisted LASIK surgery in both eyes 15 months ago and her symptoms started just after this surgery. On admission, her best-corrected visual acuity was 10/10 in both eyes. She had mydriatic pupils with no direct light reflex. Examination of the anterior segment revealed bilateral iris atrophy projecting within the LASIK ablation zone and a transillumination defect was remarkable on the slit lamp examination. Conclusion. We hypothesized that this condition may have been caused by the abnormally increased IOP that resulted in ischemia in the iris vascular plexus during the suction process of surgery.