Slit-lamp findings of the patient with epithelial ingrowth. (A) At presentation, fluorescein stain at the 4-o’clock position suggests mild flap lift along with obvious epithelial defect over flap. (B) A few days later, white infiltrate in the interface is consistent with epithelial ingrowth and overlying flap melt. (C) The flap was lifted, epithelial cells scraped, and two 10-0 nylon sutures placed; corneal haze was noted in stroma under flap but no epithelial cells remained in the interface. (D) Two months after flap lift/scrape/suture and 1 month after removal of sutures, the patient presented with flap contracture as evident by macrostriae on examination and haze underneath flap. Cornea (E) 6 months and (F) 3 years after flap amputation.