alexa Alcohol and mechanical scraping for epithelial ingrowth following laser in situ keratomileusis.
Ophthalmology

Ophthalmology

Journal of Clinical & Experimental Ophthalmology

Author(s): Lahners WJ, Hardten DR, Lindstrom RL

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Abstract PURPOSE: To determine whether the use of 70\% isopropyl alcohol is useful as an adjunct to simple mechanical removal of epithelial ingrowth following laser in situ keratomileusis (LASIK). METHODS: A retrospective comparison of two techniques of epithelial ingrowth removal following LASIK was performed. A total of 38 procedures on 31 patients were included. In one group, the epithelium was removed using a simple mechanical scraping technique and in the other, a similar technique combined with the application of 70\% isopropyl alcohol was used. The rates of recurrence in the two groups were compared using a chi-square analysis. RESULTS: The total incidence of epithelial ingrowth recurrence in both groups was 57.9\% (22/38). The incidence of clinically significant ingrowth recurrence in both groups was 34.2\% (13/38). In the scrape group, the recurrence of any ingrowth was 43.8\% (7/16) and the recurrence of clinically significant ingrowth was 31.3\% (5/16). In the alcohol group, these rates were 68.2\% (15/22) and 36.4\% (8/22), respectively. The difference between the two groups did not show statistical significance in either comparison (P=.14 and P=.75, respectively). CONCLUSIONS: The use of 70\% isopropyl alcohol showed no additional benefit over simple mechanical scraping in the removal and prevention of epithelial ingrowth recurrence following LASIK.
This article was published in J Refract Surg and referenced in Journal of Clinical & Experimental Ophthalmology

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