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Epithelial ingrowth under LASIK flaps: tips and tricks for preventing recurrence!

Anitha Venugopal1, Aditee Madkaikar2, Meenakshi Ravindran3

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Traumatic LASIK flap dislocations can lead to epithelial ingrowth (EI). Prompt surgical revision and flap repositioning are crucial for successful outcomes and preventing EI recurrence after LASIK surgery.

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Area of Science:

  • Ophthalmology
  • Surgical Techniques

Background:

  • Laser-assisted in situ keratomileusis (LASIK) is a common refractive surgery.
  • Traumatic flap dislocations occur in 3.9% of post-LASIK patients, often with epithelial ingrowth (EI).
  • Prompt surgical intervention is key for favorable prognosis in these cases.

Purpose of the Study:

  • To demonstrate the surgical procedure for revising LASIK flaps.
  • To illustrate techniques for removing epithelial ingrowth (EI).
  • To provide guidance on preventing EI recurrence.

Main Methods:

  • Surgical revision of a traumatically dislocated LASIK flap.
  • Complete removal of epithelial ingrowth (EI).
  • Perioperative strategies to prevent EI recurrence.

Main Results:

  • Successful flap revision and complete EI removal in a post-LASIK patient.
  • No recurrence of epithelial ingrowth observed postoperatively.
  • The procedure was effective for a 2-month-old traumatic folded flap.

Conclusions:

  • Surgical revision of traumatic LASIK flap dislocations with EI removal can yield successful outcomes.
  • Step-by-step surgical techniques can prevent epithelial ingrowth recurrence.
  • This video serves as a guide for surgeons on managing these complications.