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Epithelial ingrowth: causes, prevention, and treatment in 5 cases
Y Domniz1, I F Comaish, M A Lawless
1The Eye Institute, Chatswood, Australia.
Epithelial ingrowth is an uncommon complication after laser in situ keratomileusis (LASIK). Treatment varies widely, from observation to surgery, with outcomes depending on the severity of this LASIK complication.
Area of Science:
- Ophthalmology
- Surgical Complications
- Corneal Surgery
Background:
- Laser in situ keratomileusis (LASIK) is a common refractive surgery.
- Epithelial ingrowth is a potential, though uncommon, complication following LASIK procedures.
Observation:
- This study reviewed 5 cases of epithelial ingrowth after LASIK.
- Cases presented with varying severity, onset times, and clinical courses.
Findings:
- Treatments included observation, manual removal, phototherapeutic keratectomy, alcohol application, corneal cap removal, and penetrating keratoplasty.
- Patient outcomes ranged from preserved visual acuity to requiring penetrating keratoplasty, highlighting the spectrum of this complication.
Implications:
- Epithelial ingrowth management requires tailored approaches based on individual case presentation.
- Understanding the diverse clinical courses can inform strategies for prevention and treatment of LASIK complications.
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