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Epithelial ingrowth after LASIK September consultation #1
Rudy M M A Nuijts1, Serdar Kartal
1Maastricht, the Netherlands.
Journal of Cataract and Refractive Surgery
|September 1, 2021
Summary
This case report details a rare instance of late-onset epithelial ingrowth following laser in situ keratomileusis (LASIK). Prompt diagnosis and management are crucial for preserving visual function after refractive surgery.
Area of Science:
- Ophthalmology
- Refractive Surgery
- Corneal Disease
Background:
- Laser in situ keratomileusis (LASIK) is a common refractive surgery procedure for myopia correction.
- Complications, though rare, can occur years after the initial surgery.
- Epithelial ingrowth is a known, albeit infrequent, complication of LASIK.
Observation:
- A 62-year-old female presented with a painful, light-sensitive right eye one week prior to examination.
- Symptoms began 30 years after bilateral LASIK for myopia (-2.5 diopters).
- Clinical examination revealed epithelial ingrowth, stromal edema, inflammation, and keratic precipitates in the right eye.
Findings:
- Slit-lamp biomicroscopy confirmed epithelial ingrowth and inflammation.
- Anterior chamber analysis showed 1+ cells (SUN grading).
- Swept-source optical coherence tomography (OCT) and Scheimpflug tomography visualized the corneal epithelial ingrowth.
Implications:
- This case highlights the possibility of late-onset complications after LASIK, emphasizing the need for continued patient monitoring.
- Early detection and appropriate management of epithelial ingrowth are vital to prevent vision loss.
- Understanding the long-term behavior of LASIK flaps is essential for managing such delayed complications.
