Epithelial ingrowth after LASIK September consultation #1.

A 62-year-old woman presented to our clinic in April 2021 with a painful right eye and increased light sensitivity for 1 week, 30 years after laser in situ keratomileusis (LASIK) in both eyes for myopia of -2.5 diopters. There were no complaints of the left eye. There were no abnormalities in her medical history. The uncorrected distance visual acuity (UDVA) of the right eye at presentation was 20/20. Slitlamp biomicroscopy revealed epithelial ingrowth on the right eye with stromal edema and inflammation and fine keratic precipitates on the endothelium (Figures 1 and 2JOURNAL/jcrs/04.03/02158034-202109000-00024/figure1/v/2021-08-31T192739Z/r/image-tiffJOURNAL/jcrs/04.03/02158034-202109000-00024/figure2/v/2021-08-31T192739Z/r/image-tiff). The cornea of the left eye was unremarkable. The anterior chamber of the right eye showed 1 + cells (SUN grading). There were no abnormalities in the posterior segment. Figure 3JOURNAL/jcrs/04.03/02158034-202109000-00024/figure3/v/2021-08-31T192739Z/r/image-tiff shows the corneal epithelial ingrowth with a swept-source optical coherence tomography (OCT) and Figure 4JOURNAL/jcrs/04.03/02158034-202109000-00024/figure4/v/2021-08-31T192739Z/r/image-tiff an axial corneal Scheimpflug tomography map. What is your treatment advice for this patient from a short- and long-term perspective?