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   Table of Contents      
OPHTHALMIC IMAGE
Year : 2019  |  Volume : 67  |  Issue : 9  |  Page : 1474

Epithelial ingrowth following LASIK managed with Nd:YAG laser


Sussex Eye Hospital, Brighton, United Kingdom

Date of Web Publication22-Aug-2019

Correspondence Address:
Dr. Mayank A Nanavaty
Brighton and Sussex University Hospitals NHS Trust, Eastern Road, Brighton - BN2 5BF
United Kingdom
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1825_18

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How to cite this article:
Nanavaty MA. Epithelial ingrowth following LASIK managed with Nd:YAG laser. Indian J Ophthalmol 2019;67:1474

How to cite this URL:
Nanavaty MA. Epithelial ingrowth following LASIK managed with Nd:YAG laser. Indian J Ophthalmol [serial online] 2019 [cited 2019 Sep 19];67:1474. Available from: http://www.ijo.in/text.asp?2019/67/9/1474/265101



A 34-year old presented with a history of foreign body sensation and reduced vision (from irregular astigmatism) after eye rubbing in his left eye following myopic LASIK 10 years ago. [Figure 1]a and [Figure 1]b shows active epithelial ingrowth at the flap margin.[1],[2],[3],[4] [Figure 1]c and [Figure 1]d demonstrates ideal appearance of the epithelial ingrowth following Nd:YAG laser (1 MJ) aimed at creating a discontinuity between the flap edge ingrowth and the inner island to prevent progression. After 3 months, the ingrowth disappeared and patient was emmetropic with no irregular astigmatism. These images can be used as a guide when performing YAG lasers in such cases.
Figure 1: (a) Size and extent of epithelial ingrowth at the LASIK flap margin. (b) The magnified view of the epithelial ingrowth and the LASIK flap margin. (c) Epithelial ingrowth following Nd:YAG laser application to create a discontinuity between the LASIK flap edge epithelial ingrowth and the inner island to prevent progression. (d) The magnified view of the Nd:YAG laser-induced discontinuity

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Ayala MJ, Alió JL, Mulet ME, De La Hoz F. Treatment of laser in situ keratomileusis interface epithelial ingrowth with neodymium: Yytrium-aluminum-garnet laser. Am J Ophthalmol 2008;145:630-4.  Back to cited text no. 1
    
2.
Lindfield D, Ansari G, Poole T. Nd:YAG laser treatment for epithelial ingrowth after laser refractive surgery. Ophthalmic Surg Lasers Imaging 2012;43:247-9.  Back to cited text no. 2
    
3.
Kim JM, Goel M, Pathak A. Epithelial ingrowth - Nd:YAG laser approach. Clin Exp Ophthalmol 2014;42:389-90.  Back to cited text no. 3
    
4.
Ting DSJ, Srinivasan S, Danjoux JP. Epithelial ingrowth following laser in situ keratomileusis (LASIK): Prevalence, risk factors, management and visual outcomes. BMJ Open Ophthalmol 2018;3:e000133.  Back to cited text no. 4
    


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