Lasik Complications 2001 Epithelial Ingrowth by Dr. Jeffery Machat

1. 3 Primary Post-operative
Complications
• Epithelial Ingrowth
• Corneal Striae
• Diffuse Lamellar Keratitis
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2. Epithelial Ingrowth
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3. Epithelial Ingrowth
• Machat Grading System:
• Grade1: Hallmark is peripheral haze
• Grade2: Hallmark are large distinct
translucent or vacuolated cell nests
• Grade 3: Hallmark is gray necrotic
geographic cell nests with flap
melting
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4. Grade 1 Epithelial Ingrowth
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5. Epithelial Ingrowth Grade 1
with Corneal flap contraction
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6. Corneal Flap Edge Scarring
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7. Grade 2 Epithelial Ingrowth
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8. Grade 2 Epithelial Ingrowth
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9. Epithelial Ingrowth Grade 3
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10. Grade 3 Geographic Pattern
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11. Grade 3 Epithelial Ingrowth
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12. Grade 3 Epithelial Ingrowth
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13. Corneal Interface Cleaning
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14. Corneal Melting
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15. The information provided in this PowerPoint presentation is
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medical advice, medical diagnosis or treatment, or
recommendation for medical care or treatment. All medical
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You acknowledge that your use of this information is at your
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presented.
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16. THANK YOU
Dr. Jeffery J. Machat
2001
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Machat.
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