Table 3.

DIEYAG Instructions.

Utilization:	When ingrowth is clinically significant (central, progressing, and/or causing reduced visual acuity or increased visual symptoms), and when patient prefers laser treatment over more invasive surgical options
Settings:	•Nd:YAG laser set at lowest setting (per pulse energy 0.5–0.7mJ) •HeNE beams focused on area of ingrowth •Pulses aimed slightly shallow
Assessment:	Before DIEYAG: Define extent of the ingrowth observed on biomicroscopy; approximate borders are also seen as hyperreflective areas on corneal cross section with Pentacam
	Successful treatment: Bubbles at interface between the flap and stromal bed appear when laser energy is applied directly to areas of ingrowth
	Follow up: Halting of progression and gradual dissolution of ingrowth are observed on biomicroscopy and Pentacam corneal cross section