Late Post-LASIK visual Deterioration

A 40 year-old woman was referred to a refractive surgery clinic complaining of blurred vision and photophobia. She had undergone myopic LASIK 8 years ago. There had been no problem one year after surgery with best corrected visual acuity (BCVA) of 20/20 at that time. Her complaints started gradually and progressed thereafter. She had no history of systemic disease including diabetes mellitus and hypertension. Upon presentation, BCVA in her right and left eyes were 4/10 and 5/10, with -5.00-1.50×180° and -5.50-1.50×165°, respectively. On slitlamp examination, the LASIK flap interface was barely visible. Intraocular pressure (IOP) was 14 and 13 mmHg, in the right and left eyes respectively. Funduscopy revealed mild myopic chorioretinal degeneration but was otherwise unremarkable.