Fibrin glue for prevention of recurrent epithelial ingrowth under a LASIK flap with a central buttonhole defect.

Lingmin He, Edward E Manche

Department of Ophthalmology, Stanford University School of Medicine, Palo Alto, California 94303, USA.

Journal of cataract and refractive surgery 2012 Oct

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A 61-year-old woman presented with a paracentral buttonhole flap defect associated with a linear tear, extensive epithelial ingrowth, and macrostriae in the right eye. A laser in situ keratomileusis enhancement had been performed 3 weeks earlier. The epithelial ingrowth was removed after careful lifting of the flap, and tissue adhesive was used postoperatively as a barrier to further ingrowth. Six months postoperatively, the patient's corrected distance visual acuity had improved to 20/20 and the slitlamp examination showed no evidence of recurrent epithelial ingrowth. This case presents a novel approach to the management of a buttonhole defect. Copyright © 2012 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.

Citation

Lingmin He, Edward E Manche. Fibrin glue for prevention of recurrent epithelial ingrowth under a LASIK flap with a central buttonhole defect. Journal of cataract and refractive surgery. 2012 Oct;38(10):1857-60