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.
Vroman DT, Karp CL. Missing Article Title. Arch Ophthalmol. 2002;120(11):1601. doi:
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