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Delayed epithelial ingrowth caused by viral conjunctivitis after LASIK.

Roo Min Jun¹, Wool Suh, Eung Kweon Kim

¹Department of Ophthalmology School of Medicine, Ewha Womans University, Seoul, Korea.

Yonsei Medical Journal

|August 30, 2008

Summary

Viral conjunctivitis after LASIK surgery can lead to epithelial ingrowth. Prompt diagnosis and management are crucial for preventing vision loss and ensuring optimal outcomes after laser vision correction.

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Area of Science:

Ophthalmology
Corneal Surgery
Infectious Diseases

Background:

Laser-assisted in situ keratomileusis (LASIK) is a common refractive surgery.
Complications can arise post-LASIK, including epithelial defects and infections.
Viral infections, such as conjunctivitis, may impact corneal healing and flap integrity.

Observation:

A 41-year-old male developed decreased visual acuity three months post-LASIK.
The patient had a history of viral conjunctivitis treated with a bandage contact lens.
Examination revealed epithelial ingrowth under the corneal flap with associated edema.

Findings:

Surgical intervention involved lifting the flap, removing ingrown epithelium, and repositioning the flap.
Post-operative management included topical corticosteroids for diffuse lamellar keratitis.
Visual acuity improved to 20/20 with no interface opacities at two months.

Implications:

Viral infections may precipitate epithelial ingrowth following LASIK surgery.
Careful examination and consideration of flap complications are essential in post-LASIK patients with viral conjunctivitis.
This case highlights a potential, albeit rare, complication pathway after LASIK.