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  Vol. 119 No. 9, September 2001 TABLE OF CONTENTS
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  Clinicopathologic Reports, Case Reports, and Small Case Series
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Complication From Use of Alcohol to Treat Epithelial Ingrowth After Laser-Assisted In Situ Keratomileusis

Arch Ophthalmol. 2001;119:1378-1379.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Epithelial ingrowth occurs in up to 4.3% of patients following laser-assisted in situ keratomileusis.1 Treatment varies from observation to lifting the flap and scraping away the epithelium. With recurrence, additional treatment options include the use of an excimer laser, cocaine, proparacaine hydrochloride, or alcohol on the stromal bed and flap and suturing the abnormal flap edge. Studies on the efficacy of these interventions are lacking. We report a case of total flap melting following alcohol application to the interface to treat recurrent epithelial ingrowth.

Report of a Case

A 52-year-old woman underwent bilateral laser-assisted in situ keratomileusis for moderate myopic astigmatism. Postoperatively the patient had irritation and focal flap edema in her left eye that persisted for 6 months before epithelial ingrowth was noted. The patient's flap was lifted, scraped, and irrigated 8 months postoperatively. Twelve days later, recurrent epithelial ingrowth was observed. The retreatment consisted of elevating the flap, scraping the stromal bed . . . [Full Text of this Article]


Comment
Corresponding author: Carol L. Karp, MD, Bascom Palmer Eye Institute, 900 NW 17th St, Miami, FL 33136.



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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Treatment of Epithelial Ingrowth After Laser In Situ Keratomileusis With Mechanical Debridement and Flap Suturing
Rojas et al.
Arch Ophthalmol 2004;122:997-1001.
ABSTRACT | FULL TEXT  

Suture Laser-Assisted In Situ Keratomileusis Flaps After Epithelial Ingrowth Removal
Rowsey et al.
Arch Ophthalmol 2002;120:1601-1601.
FULL TEXT  





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