title: Treatment of epithelial ingrowth after LASIK enhancement with a combined technique of mechanical debridement, flap suturing, and fibrin glue application.
abstract: OBJECTIVE
  To report a case of clinically significant post-laser in situ keratomileusis (LASIK) epithelial ingrowth successfully treated with a combined technique of mechanical debridement, flap suturing, and fibrin glue application.
  
  
  METHODS
  A retrospective case report.
  
  
  RESULTS
  A 42-year-old female patient underwent LASIK and an enhancement procedure in 1998 and 2002, respectively. Two years after her enhancement, she developed severe, visually significant epithelial ingrowth. Treatment was undertaken using a combination of mechanical debridement, flap suturing, and fibrin glue application. No recurrence was found during a 15-month follow-up period. No adverse effects were seen with this approach.
  
  
  CONCLUSIONS
  Severe progressive epithelial ingrowth may be treated successfully with a combination of mechanical debridement, flap suturing, and fibrin glue application.
authors.affiliation: Department of Ophthalmology, Loma Linda University School of Medicine, Loma Linda, CA 92354, USA. narvaezjd@verizon.net
authors.forename: Julio
authors.initials: J
authors.lastname: Narváez
authors.forename: Arun
authors.initials: A
authors.lastname: Chakrabarty
authors.forename: Kenneth
authors.initials: K
authors.lastname: Chang
mesh_terms: D000328:Adult; D003131:Combined Modality Therapy; D003316:Corneal Diseases / Q000175:diagnosis / Q000628:therapy*; D019781:Corneal Topography; D003646:Debridement / Q000379:methods; D019573:Epithelium, Corneal / Q000187:drug effects* / Q000473:pathology / Q000601:surgery*; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000008:administration & dosage*; D006801:Humans; D020731:Keratomileusis, Laser In Situ; D013508:Ophthalmologic Surgical Procedures; D011183:Postoperative Complications; D012189:Retrospective Studies; D013524:Surgical Flaps; D013536:Suture Techniques
chemical_list: D015718:Fibrin Tissue Adhesive