Epithelial ingrowth-Islands in the clear sea.

This is a case of 34-year-old female with epithelial ingrowth at the edge of lasik flap in right eye [Fig. 1a and b] who underwent microkeratome-assisted lasik 6 years ago. As the patient is asymptomatic, with 20/20 uncorrected visual acuity and the ingrowth non-progressive, she has been under observation.

Figure 1

(a and b) Grade 2 epithelial ingrowth in right eye

Epithelial basement membrane dystrophy, recurrent corneal erosions, increased age, diabetes, similar history in other eye, button-hole, dislocated flap are few risk factors.[123] Progressive, threatening visual axis, symptomatic (grade 3,4 Probst–Machat classification[4]) cases require treatment. Complete removal of epithelial cells from stromal bed and undersurface of flap with tight adherence of flap is necessary to prevent recurrences.[3]

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