A 46-year-old woman with a history of recurrent corneal erosion and
an examination finding consistent with map-dot-fingerprint dystrophy underwent
bilateral LASIK for the correction of an error of –6.75 + 0.50 ×
100 OD and –7.00 + 0.25 × 072 OS. An automated microkeratome (Automated
Corneal Shaper [ACS]; Bausch & Lomb Surgical, Rochester, NY) was used
to create the corneal flaps with nasally located hinges, followed by ablation
with an excimer laser (VISX Star; VISX, Inc, Santa Clara, Calif). An epithelial
defect was produced during surgery in the left eye. A bandage soft contact
lens was placed, but a defect persisted at the first follow-up visit 1 day
later. Approximately 3 weeks later, epithelial ingrowth along the interface
of the corneal flap and the bed was identified at the hinge and extended toward
the entrance pupil. The flap was elevated and the interface epithelium, removed.
Approximately 2 weeks later, the epithelial ingrowth had recurred, so the
flap was amputated.