Nd:YAG-Assisted Ablation of Post-Traumatic Epithelial Ingrowths in a LASIK Flap
DOI:
https://doi.org/10.48560/rspo.23835Keywords:
Corneal Diseases/surgery, Epithelium, Corneal/surgery, Keratomileusis, Laser In Situ/adverse effects, Lasers, Solid-State/therapeutic use, Surgical Flaps/adverse effectsAbstract
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).
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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
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