Epithelial ingrowth after LASIK September consultation #1

Abstract

A 62-year-old woman presented to our clinic in April 2021 with a painful right eye and increased light sensitivity for 1 week, 30 years after laser in situ keratomileusis (LASIK) in both eyes for myopia of −2.5 diopters. There were no complaints of the left eye. There were no abnormalities in her medical history. The uncorrected distance visual acuity (UDVA) of the right eye at presentation was 20/20.Slitlamp biomicroscopy revealed epithelial ingrowth on the right eye with stromal edema and inflammation and fine keratic precipitates on the endothelium (Figures 1 and 2Figure 1.Slitlamp biomicroscopy of epithelial ingrowth inferiorly in the right eye.Figure 2.Slitlamp biomicroscopy of epithelial ingrowth with stromal cellular inflammation). The cornea of the left eye was unremarkable. The anterior chamber of the right eye showed 1 + cells (SUN grading). There were no abnormalities in the posterior segment. Figure 3Figure 3.OCT of the cornea of the right eye in the 101- to 281-degree meridian. shows the corneal epithelial ingrowth with a swept-source optical coherence tomography (OCT) and Figure 4Figure 4.Axial corneal Scheimpflug tomography map of the right eye. an axial corneal Scheimpflug tomography map.What is your treatment advice for this patient from a short- and long-term perspective?