A 50-year-old female developed significant aggressive epithelial ingrowth after a minor corneal abrasion to her left eye, which required surgical removal. On presentation, she exhibited no signs of corneal flap manipulation or displacement. This report exemplifies the latest presentation of traumatic epithelial ingrowth from initial LASIK surgery and the only case without flap displacement, emphasizing the need for close follow-up and examination of all LASIK patients even after minor trauma.

A 65-year-old white woman with a history of bilateral laser in situ keratomileusis (LASIK) had retreatment of her right eye status after cataract extraction. Thirteen years after the primary LASIK procedure, the patient developed florid diffuse lamellar keratitis (DLK) within 4 days of the retreatment. This case report presents an unusual occurrence of DLK years after LASIK surgery and stresses the importance of early vigilant inspection of the stromal space in LASIK patients having retreatment with surface ablation.

No abstract

About 4.5 million people visit physicians for shoulder pain every year. Most shoulder surgeries are performed in an ambulatory setting and pain control can be problematic during the recovery period. Continuous interscalene block, which is quite effective for postprocedural pain relief, is not risk free. Some postprocedure concerns can be resolved easily over the phone, but others require additional examination, imaging, or even surgical intervention. Effective and safe management of a brachial plexus catheter requires a complete perioperative plan, open communication with the patient and family, and recognition and early treatment of complications. Also needed is a good working relationship between nurses, anesthesia care givers, and orthopedic surgeons.