Brief report
Treatment of Traumatic LASIK Flap Dislocation and Epithelial Ingrowth With Fibrin Glue

https://doi.org/10.1016/j.ajo.2005.12.001Get rights and content

Purpose

To describe a case of a traumatic late dislocation of a laser-assisted in situ keratomileusis (LASIK) flap complicated by epithelial ingrowth.

Design

Interventional case report.

Methods

A 50-year-old woman presented 21 months after uncomplicated LASIK with painful vision loss in the right eye after minor trauma.

Results

A dislocation of the LASIK flap was noted at examination and was repositioned. One week later, epithelial ingrowth was detected in the flap interface. The ingrowth was treated with flap lifting, debridement, and sealing of the flap with fibrin glue. Visual acuity returned to baseline, and there was no recurrence after 20 months of follow-up.

Conclusions

Traumatic dislocations of LASIK flaps may occur many months after uncomplicated surgery and may be associated with epithelial ingrowth after successful repositioning. The additional use of fibrin glue in conjunction with thorough debridement may be helpful in preventing the recurrence of epithelial ingrowth.

References (5)

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Cited by (49)

  • Recent developments and clinical applications of surgical glues: An overview

    2019, International Journal of Biological Macromolecules
    Citation Excerpt :

    To prevent this complication fibrin glue was used which prevent epithelial ingrowth and its treatment include flap reattachment and debridement. Various cases including the successful treatment of flap reattachment have been discussed where there was no occurrence of epithelial ingrowth or accumulation of fluid in interface [68–70]. Other applications besides these surgeries are amniotic membrane transplantation, limbal cell transplantation, treating keratoplasty, treating epithelial ingrowth and flap dislocation etc. [71,72].

  • Successful delayed surgical treatment of long-standing and late-onset epithelial ingrowth

    2016, JCRS Online Case Reports
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    Laser in situ keratomileusis is preferred by many clinicians because of the rapid recovery of vision and reduced postoperative discomfort.4 However, the corneal flap that is made during the procedure can lead to epithelial ingrowth.5–12 Early flap dislocation 1 to 2 days after surgery is a well-known complication, with a reported incidence of 1% to 2%.2,13

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