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Severe epithelial ingrowth after pars plana vitrectomy ten years after LASIK relifting.

J I Fernández-VigoA Macarro-MerinoB Burgos-BlascoI Almorín-Fernández-VigoP Arriola-VillalobosJ Á Fernández-Vigo
Published in: Archivos de la Sociedad Espanola de Oftalmologia (2024)
Epithelial ingrowth is one of the most significant complications of Laser in Situ Keratomileusis (LASIK) refractive surgery. We present the case of a 72-year-old male with a history of myopic LASIK (1999), who underwent cataract surgery and a second thin LASIK sub-Bowman flap to correct refractive error. Then, three months after pars plana vitrectomy for an epiretinal membrane, the patient complained of progressive vision loss. A diffuse haze of the corneal stroma that did not exist before surgery was observed. As the main suspicion was epithelial ingrowth, the flap was lifted and meticulous de-epithelialization of the stromal bed was performed. Mitomycin C 0.02% was applied, the flap was sutured with 10-0 Nylon, and a bandage contact lens was placed. The epithelialization of the interface after vitrectomy in a patient with LASIK could occur even when it is a rare complication and without obvious flap traumatism.
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