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ISSN 1561-3070 (Electronic)

2018, Number 2

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Rev Cub Oftal 2018; 31 (2)

Interface epithelialization after surgery LASIK technique

Mariño HO, Guerra AM, Cárdenas DT, Cruz ID, Pérez SRG, Cabrera RY

Language: Spanish
References: 21
Page: 1-9
PDF size: 834.70 Kb.


ABSTRACT

Interface epithelialization is one of the secondary complications of LASIK and SMILE refractive corneal surgery which may negatively affect the visual quality of operated patients. A female 51-year-old patient presents who underwent surgery about two years ago for compound hyperopic astigmatism of both eyes by LASIK technique with a pendular microkeratome. Approximately five months ago the patient began experiencing gradual visual loss in her right eye. Visual acuity of the right eye was 0.1 without correction and 0.3 with correction. Ophthalmological examination found whitish deposits in the corneal flap interface revealing interface epithelialization. It was decided to lift the corneal flap to remove the epithelial tissue from the interface. Phototherapeutic keratectomy was performed and 0.02 % mitomycin C applied on the area. The patient's evolution was satisfactory. At one month, visual acuity of the right eye had risen to 0.5 without correction and 0.9 with correction, and no signs of recurrence were observed.


REFERENCES

  1. Valdez JE, Barros AE, González JM. Complicaciones post láser in situ keratomileusis. Rev Mex Oftalmol. 2007;81(5):257-9.

  2. Stulting RD, Carr JD, Thompson KP. Complications of laser in situ keratomileusis for the correction of myopia. Ophthalmology. 1999;105:1839-48.

  3. Pérez E, Sarmiento X, Lantigua I, García M, Ortega L. Láser in situ keratomileusis en la corrección de la miopía y del astigmatismo residual posqueratotomía radial en casos seleccionados. Rev Cubana Oftalmol. 2010;23(Supl. 2):790-800.

  4. Agarwal A. Tips for preventing and treating epithelial ingrowth after LASIK. Ocular Surgery News U.S. Edition; October 1; 2006.

  5. Kamburoglu G, Ertan A. Epithelial Ingrowth after femtosecond laser--assisted in situ Keratomileusis. Cornea. 2008;27(10):1122-5.

  6. Gavrilov JC. Surgical management of epithelial ingrowth after ReLex-SMILE. J Franç Ophtalmol. 2017;40(2):65-6.

  7. Roo Min J, Wool S, Eung Kweon K. Delayed epithelial ingrowth caused by viral conjunctivitis after LASIK. Yonsei Med J. 2008;49(4):662-5.

  8. Mohammad Ali AS, Muhammad S, Muhammad Suhail S, Tanvir A, Asad Aslam K. Epithelial ingrowth after penetrating trauma. J College Phys Surg Pak. 2016;26(1):68-9.

  9. Aboumerhi H, Shultz C, Erzurum SA. Traumatic epithelial ingrowth despite nondisplaced LASIK flap. J Eye Cat Surg. 2015;5(1):1-5.

  10. Kymionis G, Ide T, Yoo S. Flap amputation with phototherapeutic keratectomy and adjuvant mitomycin C for severe post-LASIK epithelial ingrowth. Eur J Ophthalmol. 2009;19(2):301-3.

  11. Hye Young S, Kyong Jin C, Man Soo K. Combined mitomycin-C assisted photorefractive keratectomy in the treatment of epithelial ingrowth after LASIK. J Korean Ophthalmol Soc. 2011;52(8):984-9.

  12. Taneri S, Koch JM, Melki SA, Azar DT. Mitomycin-C assisted photorefractive keratectomy in the treatment of buttonholed laser in situ keratomileusis flaps associated with epithelial ingrowth. J Cataract Refract Surg. 2005;31(10):2026-30.

  13. Lai MM, Haller JA. Resolution of epithelial ingrowth in a patient treated with 5- fluorouracil. AJO. 2002;133(4):562-4.

  14. Haw WW, Manche EE. Treatment of progressive or recurrent epithelial ingrowth with ethanol following laser in situ keratomileusis. J Refract Surg. 2001;17(1):63-8.

  15. Kwon KY, Ji YW, Lee J, Kim EK. Inhibition of recurrence of epithelial ingrowth with an amniotic membrane pressure patch to a laser in situ keratomileusis flap with a central stellate laceration: a case report. BMC Ophthalmol.2016;16:111.

  16. Fuentes-Paez G, Soler T Jr, Burillo S. Epithelial Ingrowth: visual acuity and astigmatism results one year after yag laser treatment. J Clin Exp Ophthalmol. 2015 [citado 15 de mayo de 2018];6(5):[aprox. 5 p.]. Disponible en: https://www.omicsonline.org

  17. Kim JM, Goel M, Pathak A. Epithelial ingrowth Nd: YAG laser approach. Clin Experiment Ophthalmol. 2014;42(4):389-90.

  18. Caster AI, Friess DW, Schwendeman FJ. Incidence of epithelial ingrowth in primary and retreatment laser in situ keratomileusis. J Cataract Refract Surg. 2010;36(1):97- 101.

  19. Chan CC, Boxer Wachler BS. Comparison of the effects of LASIK retreatment techniques on epithelial ingrowth rates. Ophthalmology. 2007;114(4):640-2.

  20. Jabbur NS, Chicani CF, Kuo IC, O'Brien O'Brien TP. Risk factors in interface epithelialization after laser in situ keratomileusis. J Refract Surg. 2004;20(1):343-8.

  21. Rojas MC, Lumba JD, Manche EE. Treatment of epithelial ingrowth after laser in situ keratomileusis with mechanical debridement and flap suturing. Arch Ophthalmol. 2004;1228(7):997-1001.




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