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 in-growth into the flap interface, and eventually all of that Epi in-growth caused the flap to sectorally melt. I decided to amputate the flap and let the interface just grow over woth epithelium. Surprisingly, the patient did quite well and once ...

too small of a flap (Lost suction) ,torn flap etc. let corneal heal, watch sub epitheleal healing ,intervene early, steroid topica(fml) , lasartin drops are helpful