Late-onset epithelial ingrowth after laser in situ keratomileusis

We report a case of late-onset epithelial ingrowth that occurred between 17 months and 20 months after an uneventful laser in situ keratomileusis (LASIK) enhancement. The patient denied a history of trauma or symptoms consistent with epithelial disruption. Post-LASIK treatment had included lifting the flap and scraping the epithelial cells followed by placement of corneal flap sutures for several weeks and a bandage contact lens for 3 days. Gradual regression of epithelial cells was noted. The last recorded uncorrected distance visual acuity 24 months after scraping was 20/25. Epithelial ingrowth can occur many months after LASIK even in the absence of predisposing factors such as trauma or recurrent erosion syndrome.