AIM:To explore the management methods and outcomes for epithelial ingrowth after laser in situ keratomileusis (LASIK ).METHODS: Thirty-two eyes(19 cases) of epithelial ingrowth after LASIK in 5 134 eyes(2 633 cases) were collected.15 eyes(9 cases) with epithelial ingrowth over 2mm which defined by fluorescein staining had management by surgical removal.The 1mm epithelium of the margin in the LASIK flap was removed,and the ingrowthed epithelium was scraped under the corneal flap, irrigated by BSS under the flap,the flap was relocated and fitted with soft contact lens. RESULTS: The LASIK flap of 15 eyes were successfully repositioned with naked visual acuity recovered.CONCLUSION: Prompt and appropriate management can lead to an excellent visual outcome and avoid severe complications.