Year: 2025
Type: article
Study design: Case Report
Abstract: BACKGROUND: Epithelial ingrowth is one of the relatively uncommon complications that can occur post-LASIK surgery. The incidence of epithelial ingrowth is about 1-2% in primary and microkeratome-assisted flap creation cases. The incidence is much lower in Femtosecond assisted flap cases. Multiple pre-operative and post-operative risk factors for epithelial ingrowth have been identified, including poor flap adherence and trauma. CASE PRESENTATION: A 38-year-old male presented with a homogeneous whitish mass under a flap of a previous LASIK surgery. Initially, the lesion was managed with a flap-lifting and an excisional biopsy. After 5 months from primary intervention, the patient presented with recurrence and was managed with flap amputation and mitomycin C application. Post flap amputation, patient reached 20/25 CDVA with clear cornea and minimal haze. CONCLUSION: In this study, we present an unusual case of epithelial ingrowth post-LASIK refractive surgery presenting as a corneal cyst which was managed successfully with flap amputation. In this article we discuss the diagnostic process, treatment, and clinical implications.
Source: BMC Ophthalmology
Authors: Abdulaziz Al Somali, Askar K Alshaibani, Fatimah Alzaher, Hissah Saleh AlTurki, Zahrah A. M. Al Abdullah, Ahmed Al Habash
Language: English
Subfield: Radiology, Nuclear Medicine and Imaging
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,990
OpenAlex ID: W4411912950