We present an unusual case of stromal hydration of the primary incision resulting in a bullous fluid detachment of the LASIK flap and LASIK corneal bed at the conclusion of an intraocular lens exchange surgery.

OCT (optical coherence tomography) imaging of the cornea documents the fluid separation of the LASIK flap and corneal bed.

30 ga needle decompression of the LASIK flap resulted in resolution of the detachment.

Postop OCT imaging shows a normal cornea.

The patient healed normally without any adverse effects.

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