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epithelial ingrowth


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epithelial ingrowth, giang - Hanoi, WY, 4/23/2006
Suggestion and Question, Vic, 7/31/2006, (#1)
Response, Glenn - Sacramento, CA, 8/01/2006, (#3)

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"epithelial ingrowth"
Posted by giang - Hanoi, WY on 07:09:56 4/23/2006
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Hi,

I’m 35 from Vietnam. I’ve been seeking for an experienced LASIK surgeon. If you know some good, experienced surgeon in Thailand/Singapore/countries in the South East Asia, please advise their name, contacts and the name of the hospital where s/he has been currently practicing.

If you’ve experienced the epithelial ingrowth after LASIK or know of such, please share with me. What have most surgeons done to treat epithelial ingrowth that has developed to the extent as mine? Do they suggest re-laser treatment or surgical correction to remove the cells underneath the flap? What is the chance that the epithelial ingrowth recurs after the scrap? Should I wait for some more days/weeks if my surgeon says so or should I need to do surgical correction immediately?

Your advice is very much appreciated. Giang

Brief about LASIK complications that have occurred to my eyes and why I need the information.

The Epithelial ingrowth (the “infiltrates” of dead cell underneath the LASIK flap) occurred to my eyes one month after the LASIK as the surgeon said. Though I’m following the advice of my surgeon, I’d like to look for the second advice. Just in case, if I’ll have to do laser treatment or surgical correction, who is the experienced/good surgeon in Vietnam/and in Thailand? Do most surgeons suggest laser treatment or surgical correction or eyedrop is sufficient? Your information/advice hence would be very helpful and appreciated. Thanks a lot.

On March 9, 2006 I had LASIK operation in eye hospital in Vietnam. A day after LASIK complication occurred with the left eye flap, i.e. the flap wrinkled. The surgeon, as emergency cure, replaced with new contact lens and fixed the wrinkled left eye flap. A week after, my eyesight was 3/10 for the left eye and 7/10 for the right eye.

On March 23, I felt a bit strange with my left eye sight, every object seems to have shadow even in the room with high-light. I went to see the surgeon and he said the cornea had been infected due to non-surgical reason and I was asked to use new eye drop Naclof together with Sanlein 3 times per day.

On April 5, on a biz trip to South Vietnam, as I felt hazier and the shadow of every object had become larger than a week ago, I went to seek for the advice of some new surgeon. After a check, new surgeon said she saw the epithelial ingrowth. Though the left eye flap has not yet completely smooth it was not the main reason that made the eyesight worse. She asked me to go back home to see my original surgeon immediately. My eye sight was 10/10 for both eyes on that day.

On April 10, after some check my surgeon recognized the same, i.e. epithelial ingrowth and gave me new eyedrop and asked me to try for another 2 weeks until April 24. At that stage, I has been using Sanlein (for one month), Naclof (for 17 days) and started with Maxitrol. He said that the ingrowth might no longer develop at some stage and he would not interfere (with surgery) unless it is critical. Compared with the eyesight 13 days ago, today, April 23, it was worse. Halos, haze and, in low-light place, double vision has occurred, the shade has become so large, and things look hazy. My eye sight was 5/10 for the left and 9/10 for the right.


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1. "Suggestion and Question"
Posted by Vic on 21:56:11 7/31/2006
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I know an excellent surgeon in US. He was my surgeon. Are you planning to come to US for the complication?
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3. "Response"
Posted by Glenn - Sacramento, CA on 13:50:01 8/01/2006
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The International Society of Refractive Surgery lists two surgeons in Thailand that you may want to investigate. Visit http://tinyurl.com/s82ng for their contact information.

It appears that you may have two problems. The first may have been Diffuse Lamellar Keratitis (DLK). See http://www.usaeyes.org/lasik/faq/lasik-intralasik-dlk.htm for details. The second problem is diagnosed as epithelial ingrowth. Visit http://www.complicatedeyes.org/ingrowth.htm for details.

With the combination of problems it seems probable that the doctor will lift the Lasik flap, clean out the area under the flap, remove the epithelial ingrowth, and then reposition the flap. The doctor should monitor your situation to determine if this procedure is necessary. A second opinion is probably a good idea.

Glenn Hagele
http://USAEyes.org
Lasik Patient Advocacy & Surgeon Certification

I am not a doctor.

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