Intraoperative optical coherence tomography-guided management of postlaser-assisted in situ keratomileusis epithelial ingrowth
Loading...
Date
2022-01
Journal Title
Journal ISSN
Volume Title
Publisher
All India Ophthalmological Society
Abstract
We describe a modified technique of intraoperative optical coherence tomography (iOCT)?guided removal of post?laser?assisted in situ keratomileusis (LASIK) epithelial ingrowth with interface ethyl alcohol and mitomycin C application to prevent a recurrence. Epithelial ingrowth was visualized as hyperreflective deposits in the interface on iOCT, and the location and extent were noted at the beginning of the procedure. A simple dimple?down maneuver was performed to help identify the circumference of the LASIK flap. iOCT helped to delineate the flap edge and ensure dissection in the correct plane with complete removal of epithelial cell nests. Real?time visualization of the interface helped in on?table decision making regarding the extent of lifting the flap to encompass the entire region of hyperreflective epithelial ingrowth, as well as the need for additional interventions to ensure complete flap apposition at the end of surgery. All patients gained an uncorrected visual acuity of 20/20–20/25 with no recurrence
Description
Keywords
Epithelial ingrowth, intraoperative optical coherence tomography, laser?assisted in situ keratomileusis
Citation
Kaur Manpreet, Nair Sridevi, Mazumdar Saima A, Titiyal Jeewan S. Intraoperative optical coherence tomography-guided management of postlaser-assisted in situ keratomileusis epithelial ingrowth. Indian Journal of Ophthalmology. 2022 Jan; 70(1): 288-291