• Wrinkled Flap and Epithelial Basement Membrane Dystrophy Description: Case of a 28-year-old male who underwent Femtolasik procedure in both eyes. Intraoperative, the procedure went well but the surgeon noticed that flap and gutter epithelium loosen and sloughed even with minimal water irrigation and flap repositioning. Bandage contact lens was put on at the end of procedure. Two weeks after surgery, patient had 2 separate episode of wrinkled flap in the right eye and 3 separate episode of wrinkled flap in the left eye. Each incidents which was attributed to accidental eye rubbing was immediately treated with flap lifting and ironing. At 1 week follow up exam, patient noted no vision improvement. On slit lamp retro illumination, flap was in placed yet there are central epithelial macrostriae which causes distortion and doubling of vision. Due to the recurrent flap injury, loose epithelium did not revert back despite being covered by bandage contact lens. This prompted the surgeon with full disclosure to the patient to relift the flap, removed the wrinkled epithelium and let regenerating epithelium heal in a smooth way. Currently, patient is still under follow up yet satisfied as the vision start to slowly go normal again. In cases such as epithelial sloughing during refractive procedure, Epithelial Basement Membrane Dystrophy should be initially considered. Since this case is relatively rare complication of LASIK and subclinical in nature, care should be taken to assess other risks factor and proper surgical intervention to avoid further injury. Subspecialty: Refractive Management / Intervention Level: Advanced Uploaded By: Emerson Cruz