Treatment of epithelial ingrowth after LASIK enhancement with a combined technique of mechanical debridement, flap suturing, and fibrin glue application

Cornea. 2006 Oct;25(9):1115-7. doi: 10.1097/01.ico.0000240086.56522.69.

Abstract

Purpose: To report a case of clinically significant post-laser in situ keratomileusis (LASIK) epithelial ingrowth successfully treated with a combined technique of mechanical debridement, flap suturing, and fibrin glue application.

Methods: A retrospective case report.

Results: A 42-year-old female patient underwent LASIK and an enhancement procedure in 1998 and 2002, respectively. Two years after her enhancement, she developed severe, visually significant epithelial ingrowth. Treatment was undertaken using a combination of mechanical debridement, flap suturing, and fibrin glue application. No recurrence was found during a 15-month follow-up period. No adverse effects were seen with this approach.

Conclusion: Severe progressive epithelial ingrowth may be treated successfully with a combination of mechanical debridement, flap suturing, and fibrin glue application.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Combined Modality Therapy
  • Corneal Diseases / diagnosis
  • Corneal Diseases / therapy*
  • Corneal Topography
  • Debridement / methods
  • Epithelium, Corneal / drug effects*
  • Epithelium, Corneal / pathology
  • Epithelium, Corneal / surgery*
  • Female
  • Fibrin Tissue Adhesive / administration & dosage*
  • Humans
  • Keratomileusis, Laser In Situ*
  • Ophthalmologic Surgical Procedures*
  • Postoperative Complications*
  • Retrospective Studies
  • Surgical Flaps
  • Suture Techniques

Substances

  • Fibrin Tissue Adhesive