Central islands are steep spots on the cornea after LASIK. Reported causes of central islands include shielding of the corneal bed by pulverized tissue plume, collection of fluid in the center of the cornea as the ablation is performed, non-homogenity of the laser beam, regional differences in corneal hydration, and large ablation diameters. Central islands are more common with first- and second-generation laser systems.
LASIK Complications include ghost imaging, halos, starbursts, night-driving disability, reduced best-corrected visual acuity, loss of contrast sensitivity, and double vision. Central islands after LASIK generally do not resolve on their own. Hard contact lenses may be required for visual rehabiliation.
Problems from Lasik? File a MedWatch report with the FDA online. Alternatively, you may call FDA at 1-800-FDA-1088 to report by telephone, download the paper form and either fax it to 1-800-FDA-0178 or mail it to the address shown at the bottom of page 3, or download the MedWatcher Mobile App for reporting LASIK problems to the FDA using a smart phone or tablet.
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