Ablação Assistida por Nd:YAG para Crescimento Epitelial Pós-Traumático num Flap de LASIK
Palavras-chave:Ceratomileuse Assistida por Excimer Laser In Situ/efeitos adversos, Doenças da Córnea/cirurgia, Epitélio da Córnea/cirurgia, Lasers de Estado Sólido/uso terapêutico, Retalhos Cirúrgicos/efeitos adversos
Ten years after uneventful laser in situ keratomileusis (LASIK), a 44-year-old man presented to the emergency de- partment after suffering blunt trauma to his left eye 1 week earlier, reporting intense glare. Although the flap was not dislocated, a central tear near the optical axis was identi- fied (Fig. 1), with several adjacent inframillimetric epithe- lial ingrowths (hyperreflective densities located between the flap and the stromal bed; Fig. 1, yellow arrowheads). The epithelial ingrowths were treated with Nd:YAG laser (48 spots, 0.3 mJ average energy). All opacities disappea- red after four weeks, with no recurrence after six months of follow-up (Fig. 2).
Ting DSJ, Srinivasan S, Danjoux J Epithelial ingrowth following laser in situ keratomileusis (LASIK): prevalence, risk factors, management and visual outcomes BMJ Open Ophthalmology 2018;3:e000133. doi: 10.1136/bmjoph- th-2017-000133