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Epithelial ingrowth

Poster Details

First Author: V.Fortuna ARGENTINA

Co Author(s):    A. Alezzandrini   A. Tammaro   P. Serraino   A. Duran           

Abstract Details

Purpose:

Case presentation of postoperative complication after refractive surgery with excimer laser.

Setting:

“Oftalmos, Centro Oftalmológico de Alta Complejidad”

Methods:

Female patient (39 years old) who complains of progressive corneal opacification on her right eye associated with decrease in visual accuity. Medical record: 2004 lasik myopic surgery, 2013 retreatment right eye. Rheumatoid arthritis in treatment with methotrexate. Visual accuity: OR: VA 20/200 BCVA 20/50 (- 1.00 -1.00 x 90 °) OS: VA 20/20 Slit lamp: OR: clear cornea, white paracentral lesion with net edges at the interface OS: no particularities Fundus: unremarkable Anterior chamber OCT and Pentacam were performed. Presumptive diagnosis: EPITHELIAL INGROWTH Treatment: flap lift, then with excimer laser all visible epithelial cells on the stromal bed were removed.

Results:

Two months after surgery Visual accuity: Right eye: UDVA 20/80 CDVA -2.75 20/30 Left eye: UDVA 20/20 Slit lamp: slight opacity over the zone of injury, flap applied without signs of infection

Conclusions:

It is important to know the contraindications (collagenopathies for example) and recognize complications in refractive surgery. Epithelial ingrowth is an early complication which increase its impact after reoperations (2%). Good visual results are obtained with proper treatment preserving the integrity of the flap.

Financial Disclosure:

NONE

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