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