Central Toxic Keratopathy Leading To Epithelial Ingrowth Following Femtosecond Laser-Assisted Lasik
Published 2024 - 42nd Congress of the ESCRS
Reference: PO231 | Type: Case Report | DOI: 10.82333/1v2e-kt18
Authors: Pratik Gogri* 1 , Sushank Bhalerao 2 , Uma Thigale 2
1Cornea, Cataract and Refractive Surgery,Dr. Agarwals Eye Hospital,Mumbai,India, 2Cornea, Cataract and Refractive Surgery,LV Prasad Eye Institute,Vijayawada,India
Purpose
To propose a unique mechanism for development of epithelial ingrowth after a femtosecond laser assisted LASIK complicated with central toxic keratopathy.
Setting
LV Prasad Eye Institute, India
Report of case
We report a case of 24-year-old female who underwent femtosecond laser-assisted LASIK in both eyes to correct her simple myopic astigmatism. After the surgery, both eyes developed diffuse lamellar keratitis and intensive topical steroids were initiated to control the same. Subsequently it progressed to central toxic keratopathy in both eyes. Around 3 weeks after the surgery, right eye showed signs of progressive epithelial ingrowth involving the pupillary area. Surgical intervention in the form of flap relift and alcohol interface wash was done to treat the same.
Conclusion/Take home message
This is a well-documented case report highlighting the sequence of 3 uncommon LASIK interface complications in a patient and their management.