Management of Complex Epithelial Ingrowth After Laser In Situ Keratomileusis Using Fibrin Tissue Glue

2018 ◽  
Vol 44 ◽  
pp. S210-S214 ◽  
Author(s):  
Lisa Y. Chen ◽  
Jennifer S. Kung ◽  
Edward E. Manche
Keyword(s):  
Laser In Situ Keratomileusis ◽  
Tissue Glue ◽  
Epithelial Ingrowth ◽  
Fibrin Tissue Glue

Alcohol and Mechanical Scraping for Epithelial Ingrowth Following Laser in situ Keratomileusis

2005 ◽  
Vol 21 (2) ◽  
pp. 148-151 ◽  
Author(s):  
William J Lahners ◽  
David R Hardten ◽  
Richard L Lindstrom
Keyword(s):  
Laser In Situ Keratomileusis ◽  
Epithelial Ingrowth

Amniotic membrane as a biologic pressure patch for treating epithelial ingrowth under a damaged laser in situ keratomileusis flap

2006 ◽  
Vol 32 (1) ◽  
pp. 162-165 ◽  
Author(s):  
Eun Suk Lee ◽  
Hyung Keun Lee ◽  
Stephen M. Cristol ◽  
Seong Chin Kim ◽  
Moo Il Lee ◽  
...  
Keyword(s):  
Amniotic Membrane ◽  
Laser In Situ Keratomileusis ◽  
Epithelial Ingrowth

Epithelial ingrowth after laser in situ keratomileusis: clinical features and possible mechanisms

2002 ◽  
Vol 134 (6) ◽  
pp. 801-807 ◽  
Author(s):  
Naoko Asano-Kato ◽  
Ikuko Toda ◽  
Yoshiko Hori-Komai ◽  
Yoji Takano ◽  
Kazuo Tsubota
Keyword(s):  
Clinical Features ◽  
Laser In Situ Keratomileusis ◽  
Epithelial Ingrowth

scholarly journals Epithelial ingrowth following laser in situ keratomileusis (LASIK): prevalence, risk factors, management and visual outcomes

2018 ◽  
Vol 3 (1) ◽  
pp. e000133 ◽  
Author(s):  
Darren Shu Jeng Ting ◽  
Sathish Srinivasan ◽  
Jean-Pierre Danjoux
Keyword(s):  
Risk Factors ◽  
Wide Spectrum ◽  
Visual Outcome ◽  
Primary Treatment ◽  
Early Postoperative Period ◽  
Laser In Situ Keratomileusis ◽  
Epithelial Ingrowth ◽  
Clinical Presentations

The number of laser in situ keratomileusis (LASIK) procedures is continuing to rise. Since its first application for correcting simple refractive errors over 25 years ago, the role of LASIK has extended to treat other conditions, including postkeratoplasty astigmatism/ametropia, postcataract surgery refractive error and presbyopia, among others. The long-term effectiveness, predictability and safety have been well established by many large studies. However, due to the creation of a potential interface between the flap and the underlying stroma, interface complications such as infectious keratitis, diffuse lamellar keratitis and epithelial ingrowth may occur. Post-LASIK epithelial ingrowth (PLEI) is an uncommon complication that usually arises during the early postoperative period. The reported incidence of PLEI ranged from 0%–3.9% in primary treatment to 10%–20% in retreatment cases. It can cause a wide spectrum of clinical presentations, ranging from asymptomatic interface changes to severe visual impairment and flap melt requiring keratoplasty. PLEI can usually be treated with mechanical debridement of the affected interface; however, additional interventions, such as alcohol, mitomycin C, fibrin glue, ocular hydrogel sealant, neodymium:yttriumaluminum garnet laser and amniotic membrane graft, may be required for recurrent or refractory cases. The aims of this review are to determine the prevalence and risk factors of PLEI; to describe its pathogenesis and clinical features and to summarise the therapeutic armamentarium and the visual outcome of PLEI.

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