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Rapid Epithelial Ingrowth Following Laser In Situ Keratomileusis due to Screwdriver Trauma
Yuhan Kuo1, Takashi Ono1, Yukako Taketani1
1Department of Ophthalmology, University of Tokyo Hospital, Tokyo, Japan, u-tokyo.ac.jp.
Case Reports in Ophthalmological Medicine
|May 22, 2026
Summary
A rare case of rapid epithelial ingrowth after laser in situ keratomileusis (LASIK) flap trauma is presented. Prompt treatment of the initial injury is crucial for managing post-LASIK complications.
Area of Science:
- Ophthalmology
- Corneal Surgery
- Ocular Trauma
Background:
- Laser in situ keratomileusis (LASIK) is a common refractive surgery.
- Complications can arise from LASIK, including flap-related issues.
- Ocular trauma post-LASIK requires careful management and monitoring.
Purpose of the Study:
- To report a unique case of rapid epithelial ingrowth following LASIK flap trauma.
- To highlight the potential for delayed complications after corneal injury.
- To emphasize the importance of long-term follow-up in post-LASIK patients.
Main Methods:
- Case report of a 36-year-old female patient with a history of LASIK.
- Documentation of ocular trauma from a flat-blade screwdriver.
- Clinical observation of epithelial ingrowth progression and visual acuity over 10 months.
Main Results:
- The patient experienced rapid epithelial ingrowth beneath the LASIK flap 3 months post-trauma.
- Epithelial ingrowth progressed to the pupillary area within 10 months.
- Despite ingrowth, corrected visual acuity remained stable at 1.2.
Conclusions:
- Post-LASIK trauma can lead to significant epithelial ingrowth at the flap interface.
- Long-term monitoring is essential for patients experiencing corneal injury after LASIK.
- Early management of corneal defects may not prevent delayed ingrowth.
