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CASE REPORT
Year : 2022  |  Volume : 2  |  Issue : 1  |  Page : 17-18

Acute psychosis after refractive surgery


Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Dr. Manpreet Kaur
Assistant Professor, Cornea, Lens and Refractive Surgery Services, R P Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1816_21

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A 20-year-old male with no previous history of systemic or mental illness underwent femtosecond laser-assisted in situ keratomileusis (LASIK) in both eyes. A suction loss was experienced during surgery in the left eye. Repeat docking was performed, and subsequent surgery was uneventful. In the postoperative period, the uncorrected distance visual acuity (UDVA) was 20/20 in both eyes; however, the patient developed behavioral changes and acute psychotic symptoms, which subsided with anti-psychotics over 3 weeks. Acute psychosis following ocular surgeries is rare; however, a strong suspicion should be kept if any behavioral changes are noted in the postoperative period. Timely psychiatric referral and adequate management are essential to achieve optimal outcomes.


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