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Photo Essay
December 2003

Treatment of Macrostriae and Epithelial Ingrowth Following Laser In Situ Keratomileusis With Interrupted Sutures

Arch Ophthalmol. 2003;121(12):1800-1801. doi:10.1001/archopht.121.12.1800

A 42-YEAR-OLD woman who had undergone bilateral simultaneous laser in situ keratomileusis 2 weeks earlier at another institution was referred to our service for management of bilateral macrostriae and epithelial ingrowth after failed repositioning of dislocated flaps, which had been noted on the first day following surgery (Figure 1 and Figure 2). At our examination, uncorrected visual acuity was 20/60 OD and 20/200 OS, and best-corrected visual acuity was 20/50 OD and 20/80 OS. One month later, the flap was elevated completely, epithelial ingrowth was removed by scraping, and 14 and 7 radial interrupted flap sutures were placed in the right and left corneas, respectively, to secure the flap edge and treat the macrostriae (Figure 3). Sutures were removed after 2 weeks, resulting in an uncorrected visual acuity of 20/25 OU and a best-corrected visual acuity of 20/20 OU (Figure 4 and Figure 5). At the examination 2 months following suture removal, epithelial ingrowth had failed to reappear.

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