Disruption of ingrown epithelium via Nd:YAG laser or DIEYAG. A retrospective case series of Post-LASIK patients

Purpose: To describe in detail the technique used and results of disruption of ingrown epithelium via Nd:YAG laser (DIEYAG) after LASIK treatment and enhancement. Observations: Epithelial ingrowth following laser in situ keratomileusis (LASIK) enhancement has the potential to cause significant refra...

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Main Authors: Ryan J. Cosgrove, Matthew J. Borr, Michael L. Keil
Format: Article
Language:English
Published: Elsevier 2021-06-01
Series:American Journal of Ophthalmology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2451993621000803
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author Ryan J. Cosgrove
Matthew J. Borr
Michael L. Keil
author_facet Ryan J. Cosgrove
Matthew J. Borr
Michael L. Keil
author_sort Ryan J. Cosgrove
collection DOAJ
description Purpose: To describe in detail the technique used and results of disruption of ingrown epithelium via Nd:YAG laser (DIEYAG) after LASIK treatment and enhancement. Observations: Epithelial ingrowth following laser in situ keratomileusis (LASIK) enhancement has the potential to cause significant refractive error and discomfort when allowed to progress. This retrospective case series following seven eyes after LASIK enhancement and one eye with flap trauma, assessed the effectiveness and safety of the disruption of ingrown epithelium via Nd:YAG laser. In all cases, we found that the progression of ingrown epithelium was eliminated. Using best spectacle corrected visual acuity and topography as our main outcome measures, we found that refractive error and visual disturbance caused by ingrowth stabilized or improved, with no subsequent complications identified. Conclusion and Importance: The disruption of ingrown epithelium via Nd:YAG laser offers a safe and effective alternative to other treatments for epithelial ingrowth after LASIK treatment and enhancement.
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spelling doaj.art-abb82c777a6b47df80332ac236d7cbd82022-12-21T18:57:46ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362021-06-0122101071Disruption of ingrown epithelium via Nd:YAG laser or DIEYAG. A retrospective case series of Post-LASIK patientsRyan J. Cosgrove0Matthew J. Borr1Michael L. Keil2Michigan State University, Department of Neurology and Ophthalmology, 804 Service Rd, East Lansing, 48824, MI, USA; Ascension Macomb-Oakland Hospital, 27351 Dequindre Rd., Madison Heights, 48071, MI, USA; Corresponding author. 30117 Schoenherr Rd Ste 400, Warren, MI, 48088, USA.Michigan State University, Department of Neurology and Ophthalmology, 804 Service Rd, East Lansing, 48824, MI, USA; University of Michigan Metro Health Hospital, Department of Surgery, 5900 Byron Center Ave SW, Wyoming, 49519, MI, USAMichigan State University, Department of Neurology and Ophthalmology, 804 Service Rd, East Lansing, 48824, MI, USA; University of Michigan Metro Health Hospital, Department of Surgery, 5900 Byron Center Ave SW, Wyoming, 49519, MI, USA; Keil LASIK Vision Center, 2500 E Beltline Ave SE Ste C., Grand Rapids, 49546, MI, USAPurpose: To describe in detail the technique used and results of disruption of ingrown epithelium via Nd:YAG laser (DIEYAG) after LASIK treatment and enhancement. Observations: Epithelial ingrowth following laser in situ keratomileusis (LASIK) enhancement has the potential to cause significant refractive error and discomfort when allowed to progress. This retrospective case series following seven eyes after LASIK enhancement and one eye with flap trauma, assessed the effectiveness and safety of the disruption of ingrown epithelium via Nd:YAG laser. In all cases, we found that the progression of ingrown epithelium was eliminated. Using best spectacle corrected visual acuity and topography as our main outcome measures, we found that refractive error and visual disturbance caused by ingrowth stabilized or improved, with no subsequent complications identified. Conclusion and Importance: The disruption of ingrown epithelium via Nd:YAG laser offers a safe and effective alternative to other treatments for epithelial ingrowth after LASIK treatment and enhancement.http://www.sciencedirect.com/science/article/pii/S2451993621000803Epithelial ingrowthLASIKLASIK enhancementCorneal flapYAG laser
spellingShingle Ryan J. Cosgrove
Matthew J. Borr
Michael L. Keil
Disruption of ingrown epithelium via Nd:YAG laser or DIEYAG. A retrospective case series of Post-LASIK patients
American Journal of Ophthalmology Case Reports
Epithelial ingrowth
LASIK
LASIK enhancement
Corneal flap
YAG laser
title Disruption of ingrown epithelium via Nd:YAG laser or DIEYAG. A retrospective case series of Post-LASIK patients
title_full Disruption of ingrown epithelium via Nd:YAG laser or DIEYAG. A retrospective case series of Post-LASIK patients
title_fullStr Disruption of ingrown epithelium via Nd:YAG laser or DIEYAG. A retrospective case series of Post-LASIK patients
title_full_unstemmed Disruption of ingrown epithelium via Nd:YAG laser or DIEYAG. A retrospective case series of Post-LASIK patients
title_short Disruption of ingrown epithelium via Nd:YAG laser or DIEYAG. A retrospective case series of Post-LASIK patients
title_sort disruption of ingrown epithelium via nd yag laser or dieyag a retrospective case series of post lasik patients
topic Epithelial ingrowth
LASIK
LASIK enhancement
Corneal flap
YAG laser
url http://www.sciencedirect.com/science/article/pii/S2451993621000803
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