Dr. J. S. TITIYAL

, DR. MANPREET KAUR, DR. SRIDEVI NAIR

Abstract

We present a spectrum of cases with epithelial ingrowth, with management ranging from observation alone, to intraoperative OCT (iOCT) guided removal of epithelial ingrowth to flap amputation. An iOCT guided removal of epithelial ingrowth was performed in one case with post-LASIK epithelial ingrowth. Real-time visualization of interface guided on-table decision-making regarding extent of lifting the flap to encompass entire hyperreflective epithelial ingrowth, as well as need for additional interventions to ensure complete flap apposition at end of surgery. Second case with long-standing flap dislocation and coexisting epithelial ingrowth encroaching the pupillary area was managed with flap amputation and removal of epithelial ingrowth. Optimal visual outcomes were achieved in all cases. iOCT allows in-vivo optical biopsy of the corneal tissue and has emerged as a useful adjunct for intraoperative decision making.