title: Epithelial ingrowth under a laser in situ keratomileusis flap after phacoemulsification.
abstract: A 47-year-old man was referred to us for management of a cataract in the left eye. The patient had an ocular history of high myopia with anisometropia, amblyopia in the left eye, and stable myopic lattice degeneration in both eyes. The patient had successful bilateral laser in situ keratomileusis 3 years before and multiple retinal surgeries for treatment of a rhegmatogenous retinal detachment associated with a giant retinal tear in the temporal region of the retina with subsequent proliferative vitreoretinopathy. Phacoemulsification was performed uneventfully. A single interrupted 10-0 nylon suture was placed in the temporal clear corneal wound and removed 7 weeks postoperatively. One month later, slitlamp examination revealed a 1.5 mm tongue-like area of epithelial ingrowth under the corneal flap. The epithelial cells seemed to enter the flap-stroma interface through the previously placed suture tract and advanced centrally.
authors.affiliation: Edward S. Harkness Eye Institute, College of Physicians and Surgeons of Columbia University, New York, NY 10032, USA. reb10@columbia.edu
authors.forename: Richard E
authors.initials: RE
authors.lastname: Braunstein
authors.forename: Suzanna
authors.initials: S
authors.lastname: Airiani
authors.forename: Stanley
authors.initials: S
authors.lastname: Chang
mesh_terms: D003316:Corneal Diseases / Q000209:etiology*; D003319:Corneal Stroma / Q000473:pathology*; D004847:Epithelial Cells / Q000473:pathology*; D019573:Epithelium, Corneal / Q000473:pathology; D006801:Humans; D020731:Keratomileusis, Laser In Situ; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification / Q000009:adverse effects*; D013524:Surgical Flaps / Q000473:pathology*; D014792:Visual Acuity