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November 2002

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Copyright 2002 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2002

Arch Ophthalmol. 2002;120(11):1601. doi:

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We thank Dr Rowsey for his interest in our case report regarding epithelial ingrowth and the use of alcohol after laser-assisted in situ keratomileusis. Epithelial ingrowth is not an infrequent finding after laser-assisted in situ keratomileusis. In most cases, it is not progressive and does not require treatment. Occasionally, we have had to treat and manage very aggressive forms of epithelial ingrowth. Lifting the flap and scraping can be beneficial, but adjunctive therapies are frequently required for severe aggressive forms. Some of the reported options include suturing the flap edge, use of photorefractive keratectomy at the time of the flap elevation, and applying substances toxic to the epithelium to the interface when the flap is lifted. There have been several substances used in this manner, such as cocaine and alcohol.

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