Are there clinical situations where you would advise removal of the LASIK flap and how do you determine if it is clinically necessary?

I had a patient who had recurrent and persistent epi ingrowth into the flap interface, and eventually all of that epi ingrowth caused the flap to sectorally melt. I decided to amputate the flap and let the interface just grow over with epithelium. Surprisingly, the patient did quite well and, once h...

Too small of a flap (lost suction), torn flap, etc. Let the cornea heal, watch sub-epithelial healing, and intervene early. Topical steroid (FML), losartan drops are helpful.