Flap suturing with proparacaine for recurrent epithelial ingrowth following laser in situ keratomileusis surgery.

Purpose: To evaluate the safety and efficacy of flap suturing with proparacaine application for the management of recurrent epithelial ingrowth following laser in situ keratomileusis (LASIK).

Setting: Private consultation practice and Department of Ophthalmology, Rush University, Chicago, Illinois, USA.

Methods: Six eyes of 5 patients with recurrent epithelial ingrowth had flap lifting followed by debridement of interface epithelial cells, interface application of proparacaine, and the placement of interrupted 10-0 nylon sutures.

Prophylactic use of mitomycin-C in the management of a buttonholed LASIK flap.

We report a case in which prophylactic mitomycin-C (MMC) was used to prevent haze and scarring after photorefractive keratectomy (PRK) in an eye with a previous laser in situ keratomileusis flap buttonhole. During the patient's primary procedure, a 3.5 mm central buttonhole was created during the microkeratome pass.