LASIK flap breakthrough in Nd:YAG laser treatment of epithelial ingrowth

Ruth Lapid-Gortzak, John M. Hughes, Carla R. Nieuwendaal, Maarten R. Mourits, Ivanka J.E. Van Der Meulen

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


PURPOSE: To present two cases with complications after Nd:YAG laser treatment of epithelial ingrowth. METHODS: Case reports. RESULTS: Dense central recurrent epithelial ingrowth was treated with a Nd:YAG laser directed at the epithelial nests in the LASIK flap interface in one case. Misalignment of the aiming beam after movement resulted in perforation of the LASIK flap, followed by renewed epithelial ingrowth through the new defect. The epithelial ingrowth receded and became more translucent as a result of the treatment, but the area of the perforation remained irregular. In another case, use of the Nd:YAG laser to treat recurrent epithelial ingrowth adjacent to the flap edge created a cavitation bubble that broke through the flap edge, creating a new epithelial channel through which ingrowth recurred. CONCLUSIONS: Surface breakthrough and renewed epithelial ingrowth is a possible complication of Nd:YAG laser treatment of epithelial ingrowth.

Original languageEnglish
Pages (from-to)342-345
Number of pages4
JournalJournal of Refractive Surgery
Issue number5
StatePublished - 1 May 2015
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology


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