Successful delayed surgical Rx of long-standing and late-ons
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Laser in situ keratomileusis (LASIK) refractive surgery is widely performed in a successful manner. It results in greater comfort and faster visual recovery than surface ablations but requires the creation of a stromal flap. Early flap dislocation occurs in 1% to 2% of patients after LASIK and has been reported in a large case series. Late flap dislocation (more than 1 week postoperative) is rarer. Many cases of late epithelial ingrowth related to late flap dislocation have been reported. We report a case of trauma-related late epithelial ingrowth 12 years after LASIK. The case is notable for having the longest known interval from injury to repair, as the epithelial ingrowth was not originally considered treatable. We used a surgical approach to remove the severe epithelial ingrowth.

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