Combined Mitomycin-C Assisted Photorefractive Keratectomy in the Treatment of Epithelial Ingrowth after LASIK.
10.3341/jkos.2011.52.8.984
- Author:
Hye Young SHIN
1
;
Kyong Jin CHO
;
Man Soo KIM
Author Information
1. Department of Ophthalmology and Visual Science, The Catholic University College of Medicine, Seoul, Korea. mskim@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Epithelial ingrowth;
LASIK complication;
Mitomycin C;
Phototherapeutic keratectomy
- MeSH:
Adult;
Astigmatism;
Axis, Cervical Vertebra;
Debridement;
Epithelial Cells;
Eye;
Female;
Follow-Up Studies;
Humans;
Keratomileusis, Laser In Situ;
Lifting;
Mitomycin;
Nylons;
Photorefractive Keratectomy;
Recurrence;
Sutures;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
2011;52(8):984-989
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report 2 cases of thick, late-onset and long-standing epithelial ingrowth after laser-assisted in situ keratomilusis (LASIK) using mitomycin C-assisted photorefractive keratectomy and flap suturing. CASE SUMMARY: The first case involved a 29-year-old woman who had LASIK in both eyes in 2002. She was diagnosed with epithelial ingrowth OD after blunt ocular trauma in 2007. The second case involved a 30-year-old man who had LASIK in both eyes in 1999 followed by enhancements in 2004. Slit lamp examination showed dense epithelial ingrowth OS in a geographic pattern. Two eyes of the 2 patients with epithelial ingrowth had flap lifting followed by debridement of interface epithelial cells, photorefractive keratectomy, interface application of mitomycin C, and the placement of interrupted 10-0 nylon sutures. Two eyes regained better uncorrected visual acuity and showed reduced corneal astigmatism postoperatively. There was no evidence of residual or recurrent ingrowth throughout the follow-up period (case 1: 11 months, case 2: 1 month). CONCLUSIONS: Combined mitomycin C-assisted photorefractive keratectomy and flap suturing can be an effective and safe method for treating and preventing the recurrence of thick, late-onset and long-standing epithelial ingrowth involving the visual axis.
