Incidence of epithelial ingrowth in primary and retreatment laser in situ keratomileusis

Journal of Cataract and Refractive Surgery
Andrew I CasterFrank J Schwendeman

Abstract

To analyze the risk for clinically significant epithelial ingrowth after primary laser in situ keratomileusis (LASIK) and flap-lift retreatment LASIK. Private practice, Beverly Hills, California, USA. All cases of primary and flap-lift retreatment LASIK performed by the same surgeon in a single surgical center between January 2004 and June 2007 were retrospectively reviewed. Cases that subsequently developed clinically significant epithelial ingrowth, defined as epithelial ingrowth impeding on the visual axis and negatively affecting uncorrected or corrected distance visual acuity, were identified and analyzed. Clinically significant epithelial ingrowth occurred in none of the 3866 primary LASIK cases and in 15 (2.3%) of the 646 flap-lift retreatment cases (P<.0001). Clinically significant ingrowth was more frequent when flap-lift retreatment was performed 3 or more years after primary LASIK (7.7% versus 1.0%) (P = .0001). Patient age and sex did not have a statistically significant effect on the epithelial ingrowth rate. There was a nonsignificant trend toward increased epithelial ingrowth after flap-lift retreatment of Automated Corneal Shaper (ACS) microkeratome flaps. Flap-lift retreatment performed 3 or more years after pr...Continue Reading

References

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Citations

Apr 13, 2011·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·D M HandzelS Briesen
May 29, 2013·Journal of Cataract and Refractive Surgery·Pravin K VaddavalliWilliam W Culbertson
Oct 23, 2012·Journal of Cataract and Refractive Surgery·Damien GatinelAlain Saad
Sep 25, 2012·Journal of Cataract and Refractive Surgery·Lingmin He, Edward E Manche
Apr 24, 2012·Journal of Cataract and Refractive Surgery·Emil William ChynnElias Almeida
Nov 16, 2011·Journal of Cataract and Refractive Surgery·Steven E Wilson, Marcony R Santhiago
Oct 25, 2011·Journal of Cataract and Refractive Surgery·Jose L GüellMerce Morral
Jan 12, 2012·Journal of Refractive Surgery·J Bradley Randleman
Jul 7, 2012·Journal of Refractive Surgery·Marcony R SanthiagoSteven E Wilson
Oct 18, 2014·Journal of Refractive Surgery·Bryan S LeeDavid R Hardten
Jun 20, 2013·Journal of Refractive Surgery·Montserrat Garcia-Gonzalez, Miguel A Teus
Jun 27, 2013·Journal of Refractive Surgery·Pravin K VaddavalliSonia H Yoo
Aug 8, 2012·Journal of Refractive Surgery·J Bradley Randleman, Rupa D Shah
Aug 20, 2015·Journal of Cataract and Refractive Surgery·David R HardtenTerry Kim
Feb 14, 2017·Journal of Refractive Surgery·Majid MoshirfarMichael McCaughey
Apr 28, 2018·Clinical & Experimental Ophthalmology·Mabel K YanTommy Cy Chan
Sep 11, 2018·Journal of Refractive Surgery·Andrew I Caster
May 13, 2018·International Ophthalmology·Darren Shu Jeng Ting, Jean-Pierre Danjoux
Oct 1, 2019·Journal of Cataract and Refractive Surgery·Jorge L Alió Del BarrioJorge L Alió
Nov 27, 2018·Journal of Cataract and Refractive Surgery·Edward E Manche
Apr 10, 2020·Journal of Cataract and Refractive Surgery·Paola PiccininiDan Z Reinstein
Oct 23, 2013·Eye & Contact Lens·Riping ZhangMingzhi Zhang
Mar 19, 2020·Journal of Ophthalmology·Khaled AbdelazeemDalia Mohamed El-Sebaity
Feb 10, 2018·Journal of Refractive Surgery·Asaf FriehmannIgor Kaiserman
Jan 10, 2020·Journal of Refractive Surgery·Colin ChanChris Hodge
Apr 23, 2021·Clinical Ophthalmology·Rania Serag ElkitkatWeam Mohamed Ebeid
Apr 20, 2021·American Journal of Ophthalmology Case Reports·Ryan J CosgroveMichael L Keil

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