irregular epithelial growth

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irregular epithelial growth

Postby tompoco » Mon Sep 11, 2006 3:50 am

I had my Lasik for monovision done 5 weeks ago. The skin of the eye(Epithelial cells) has not grown back smoothly. The skin has not adhered to the surface of cornea. The skin(epithelial cells) are stacking on one another like a cluster instead of becoming one smooth layer. It causing a blurred vision. The doctor has peeled them off twice in the past 4 weeks. The new growth has been the same. He said that he would not peel them off anymore. Peeling also increases the risk of inflammation which could lead to haze. The doc wants to let it heal by itself. I want to know the future outcome from someone who had the same problem. Please!!
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Postby LasikExpert » Tue Sep 12, 2006 3:37 am

The corneal epithelium is the outermost layer of cells on the cornea. Corneal epithelial cells are the fastest reproducing cells in the human body. There are several different layers of epithelial cells within the epithelium, which builds up and smoothes the corneal surface.

Lasik normally does not significantly disrupt healthy epithelium, but it is obvious that either Lasik triggered or is exacerbating an underlying problem. The inability of the epithelium to hold on to the underlying cornea can be a long-term problem, but one that often can be managed.

Removal of the epithelium and allowing it to regenerate does seem appropriate, however twice within five weeks seems a little rapid. Of course, I am not a doctor and cannot see what your doctor sees. In difficult cases the epithelium is removed and a “dusting” of excimer laser energy is applied evenly over the entire area. This can “reset” the cells and assist with adherence.

If you are not getting relief from healing, I highly recommend you seek a referral from your doctor to a corneal specialist - preferably a subspecialist at a teaching hospital who is knowledgeable of corneal surface problems.

Something that is important to realize is that what you describe is probably due to an underlying disease or deficiency that likely existed before Lasik. That means this is a traditional medical condition and should probably be covered under your major medical insurance. You may want to seek the assistance of your general practitioner in gaining a referral to a corneal specialist to be assured you have insurance coverage.
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