| Combined Mitomycin-C Assisted Photorefractive Keratectomy in the Treatment of Epithelial Ingrowth after LASIK. |
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Hye Young Shin, Kyong Jin Cho, Man Soo Kim |
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Department of Ophthalmology and Visual Science, The Catholic University College of Medicine, Seoul, Korea. mskim@catholic.ac.kr |
| 마이토마이신을 병용한 치료적 레이저각막절제술을 이용한 라식 후 발생한 상피내생의 치료 |
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신혜영⋅조경진⋅김만수 |
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Department of Ophthalmology and Visual Science, The Catholic University College of Medicine, Seoul, Korea |
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| 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. |
| Key Words:
Epithelial ingrowth;LASIK complication;Mitomycin C;Phototherapeutic keratectomy |
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