Twelve years after receiving laser in situ keratomileusis, a 34-year-old man presented with blurred vision and photophobia from a tree branch–related injury 3 years earlier. Examination showed flap dehiscence and severe epithelial ingrowth; surgical treatment was planned. During the procedure, the flap was lifted, epithelial cells were removed, the flap was repositioned, and a suture was placed. After 11 months, no epithelial ingrowth was present and the uncorrected distance visual acuity was 20/20. To our knowledge, this case represents the longest known interval between traumatic flap dehiscence and surgical removal of epithelial ingrowth.Neither author has a financial or proprietary interest in any material or method mentioned.