Treatment Of Recurrent Epithelial Ingrowth With Femtosecond Anterior Lamellar Keratoplasty
Published 2024 - 42nd Congress of the ESCRS
Reference: PO232 | Type: Case Report | DOI: 10.82333/944f-4t23
Authors: Pratik Gogri* 1 , Pravin Vaddavalli 2 , Sushank Bhalerao 3
1Cornea, Cataract and Refractive Surgery Services,Dr. Agarwals Eye Institute,Mumbai,India, 2Cornea, Cataract and Refractive Surgery Services,LV Prasad Eye Institute,Hyderabad,India, 3Cornea, Cataract and Refractive Surgery Services,LV Prasad Eye Institute,Vijayawada,India
Purpose
To highlight a case of extensive recurrent epithelial ingrowth associated with flap melt and scarring that was successfully treated with femtosecond laser–assistedanterior lamellar keratoplasty
Setting
LV Prasad Eye Institute, India
Report of case
A 25-year-old woman presented with extensive epithelial ingrowth and corneal scarring in the left eye after a laser in-situ keratomileusis (LASIK) retreatment 1 year after primary LASIK. The patient had earlier enhancement for the treatment of overcorrection and subsequently had a flap lift and epithelial ingrowth scraping with alcohol application but had a recurrence in 2 months. Slit lamp biomicroscopy and anterior segment optical coherence tomography showed extensive epithelial ingrowth with thinning and partial resorption of the LASIK flap.
Femtosecond laser–assisted anterior lamellar keratoplasty was performed in the left eye to excise the flap along with a margin of normal stroma. Six months after the procedure, the patient’s corrected distance visual acuity improved to 20/40.
Conclusion/Take home message
Femto-second laser–assisted anterior lamellar keratoplasty is a good treatment for extensive recurrent epithelial ingrowth associatedwith flap thinning and scarring after LASIK.