How do you approach the management of epithelial ingrowth in a patient who underwent LASIK 20 years ago and developed epithelial ingrowth following recent cataract surgery?

If it’s a small area in the periphery, not causing any issue, then it would be reasonable to monitor it as it may not progress. If it is progressing or starting to cause issues, you can either try YAG, which may take more than one round, or simply lift the flap and scrape both the bed and underside ...