TJ-CEO
2022 , Vol 17 , Num 3
Epithelial Ingrowth After LASIK Flap Dehiscence During Vitreoretinal Surgery
1Assistant Professor, MD, Mersin University, Ophthalmology, Mersin, Turkey2Research Assistant, MD, Mersin University, Ophthalmology, Mersin, Turkey
3Specialist, MD, Kilis State Hospital, Ophthalmology, Kilis, Turkey
4Associate Professor, MD, Mersin University, Ophthalmology, Mersin, Turkey DOI : 10.37844/glauc.cat.2022.17.25 The proportion of patients who have undergone laser-assisted in situ keratomileusis (LASIK) surgery among patients admitted to Ophthalmology clinics is increasing day by day. LASIK surgery was applied to the case presented in this study 5 years ago. Later, vitreoretinal surgery was planned due to traumatic retinal detachment and edema of the corneal epithelium was observed during this surgery. During removal of the corneal epithelium, flap dehiscence developed in our patient. After dehiscence, the flap was repositioned without any complications, and this surgery was completed without complications. In the control examinations, while the cornea was transparent, epithelial ingrowth under the flap was detected in the fifth month after this operation. Although the flap was removed and mechanical debridement of epithelial cells was performed, recurrence was observed two weeks later. The lesion site did not threaten the visual axis and did not cause irregular astigmatism. Therefore, no additional surgical intervention was planned, and the area of ingrowth did not spread at one-year follow-up. In conclusion, vitreoretinal surgeons should not forget to question the history of previous refractive surgery and should consider complications such as flap dehiscence and epithelial ingrowth. Keywords : Epithelial ingrowth, Flap, LASIK, Vitreoretinal surgery