Epithelial Ingrowth

Epithelial ingrowth post LASIK surgery

Clinical Features

  • Symptoms: decreased best-corrected vision.
  • Signs: corneal epithelial cells invade and grow under the corneal flap.
  • Possible causes: implantation of epithelial cells during surgery, poor-quality blade, improper repositioning of the flap or gap between stromal bed and flap.
  • Complication: irregular astigmatism, flap melting.
  • Treatment: re-elevating the flap and irrigation with scraping of the stromal bed as well as the flap undersurface.
Slit lamp photograph demonstrating pearls of epithelial cells in the corneal flap interface post LASIK surgery.