Removal of Epithelial Ingrowth via Central Perforating Wound Tract 6 Years Post LASIK

• DOI: 10.1097/icl.0b013e31823729fc
• Publication Date: 2011-12-14T12:02:29Z
• Authors: Seth W. Meskin; John A. Seedor; David C. Ritterband; Richard S. Koplin
• Keywords: Adult; Male; 03 medical and health sciences; Treatment Outcome; 0302 clinical medicine; Corneal Stroma; Keratomileusis, Laser In Situ; Epithelium, Corneal; Humans; Eye Injuries, Penetrating; Corneal Diseases

The purpose was to report a case of a novel approach for the removal of central interface epithelial ingrowth caused by a perforating corneal injury 6 years after laser-assisted in situ keratomileusis (LASIK).Access to a large central area of epithelial ingrowth under a LASIK flap was achieved through the wound tract from a perforating corneal injury. Suturing of the central LASIK flap in a similar manner commonly carried out peripherally was then performed to prevent recurrent epithelial ingrowth.The offending epithelial ingrowth was removed with no recurrence over a 1-year follow-up.This is, to our knowledge, the first reported case of central epithelial ingrowth removal from a LASIK interface by a perforating injury wound tract.