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Traumatically dislocated LASIK flap may cause epithelial ingrowth
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Even after uncomplicated LASIK surgery, a traumatically dislocated flap may be associated with epithelial ingrowth after successful repositioning, according to a case study. Study authors suggest fibrin glue might be of use during the repositioning.
Terry Kim, MD, and colleagues at the Duke University Eye Center described the case of a 50-year-old woman who had undergone uncomplicated LASIK 21 months earlier. When she presented, she complained of painful vision loss associated with minor trauma in one eye, researchers said.
The LASIK flap was repositioned, and 1 week later an epithelial ingrowth was detected in the flap interface. Surgeons treated the ingrowth with flap lifting and debridement and sealed the flap with fibrin glue. Visual acuity returned to baseline levels and no recurrence was noted after 20 months of follow-up, they said.
The study is published in the May issue of American Journal of Ophthalmology.