Management of Severe Epithelial Ingrowth Following KLEx Using Crocodile-Forceps Extraction: Surgical Technique and Literature Review
Francesco D’Oria, Ilaria Lolli, Pasquale Puzo, Giovanni Petruzzella, Giovanni Alessio · 2026
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Description
Francesco D'Oria and co-authors review, in a 2026 paper, a rare but dangerous complication of laser vision correction in which surface cells creep under the treated layer. The condition, epithelial ingrowth, is well known after flap-based surgery but seldom follows the newer flapless lenticule method. The authors gather the scattered case reports, compare suspected causes, scan findings, and treatments, and add a severe case of their own.
In their case, a torn tunnel in the first week let cells spread widely and vision fell sharply. The surgeon cleared the growth through the original incision with crocodile forceps, then washed the interface thoroughly. Scans an hour later showed the material gone and the cornea's shape much smoother. The review maps when watchfulness suffices and when surgery cannot wait.
Catalog record
| CREATOR | Francesco D’Oria, Ilaria Lolli, Pasquale Puzo, Giovanni Petruzzella, Giovanni Alessio |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 18 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |