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Debridement, flap suturing used to repair epithelial ingrowth after LASIK

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Debridement and suturing of the flap is a safe and effective treatment for clinically significant epithelial ingrowth after LASIK, according to a study.

Maria C. Rojas, MD, and colleagues at Stanford University School of Medicine retrospectively studied 20 eyes of 19 patients in which clinically significant epithelial ingrowth developed after LASIK. All patients were treated with lifting of the flap, scraping of the epithelial ingrowth and flap suturing. Mean follow-up was 10.5 months.

At the last postop exam, no eye had recurrence of clinically significant epithelial ingrowth. Uncorrected visual acuity changed from 20/20 or better in seven eyes (35%) and 20/40 or better in 15 eyes (75%) to 20/20 or better in nine eyes (45%) and 20/40 or better in 16 eyes (80%). Mean spherical equivalent changed from –0.21 D to –0.53 D postoperatively. No complications were associated with the treatment, and no eyes lost two or more lines of best corrected VA.

The study is published in the July issue of Archives of Ophthalmology.