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Corneal Iron Line Following LASIK With Epithelial Ingrowth

Donnelly, Steven J MD; Bower, Kraig S MD; Stutzman, Richard D MD; Burka, Jenna M MD

doi: 10.1097/01.ico.0000154382.20861.eb
Case Report

Purpose: To report a new corneal iron line following keratorefractive surgery.

Methods: Case report and review of the literature. A 51-year-old man developed epithelial ingrowth after otherwise uneventful LASIK surgery. The patient, satisfied with an uncorrected visual acuity of 20/25 and otherwise asymptomatic, declined to have his flap relifted to treat the ingrowth.

Results: Six months postoperatively a corneal iron line was noted at the leading edge of the epithelial ingrowth. Vision remained stable.

Conclusions: Epithelial iron lines have been reported with a number of conditions, including post-refractive procedures. This is the first report of an iron line associated with epithelial ingrowth following LASIK.

From the Ophthalmology Service, Department of Surgery, Walter Reed Army Medical Center, Washington, DC.

Received for publication June 10, 2004; revision received November 10, 2004; accepted November 23, 2004.

There were no sources of public or private financial support used to fund the study.

None of the authors have any proprietary or financial interests in any of the products or devices used in this study.

The opinions expressed in this abstract are those solely of the authors and do not represent the views or official policies of the United States Army or Department of Defense.

Reprints: Kraig S. Bower, MD, Center for Refractive Surgery, Room 2F-05, Walter Reed Army Medical Center, 6900 Georgia Avenue, NW, Washington, DC 20307-5001 (e-mail:

© 2005 Lippincott Williams & Wilkins, Inc.