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Intracorneal epithelial ingrowth after descemet stripping endothelial keratoplasty and stromal puncture. Cornea 2009 Apr;28(3):334-7

Date

04/24/2009

Pubmed ID

19387237

DOI

10.1097/ICO.0b013e3181907c00

Scopus ID

2-s2.0-67149128114 (requires institutional sign-in at Scopus site)   27 Citations

Abstract

PURPOSE: To report a case of intracorneal epithelial ingrowth after Descemet stripping endothelial keratoplasty (DSEK) with stromal puncture for phakic bullous keratopathy.

METHODS: A 35-year-old man underwent DSEK for phakic bullous keratopathy in his right eye after an episode of trauma some years ago. Intraoperative drainage of interlamellar fluid was assisted by stromal punctures. Postoperatively, the patient had a best-corrected visual acuity of 20/40 in his right eye. A small area of epithelial ingrowth appeared in the corneal intrastromal interface inferiorly as an irregular flat haze about a month after surgery. It was in continuity with the inferior stromal puncture incision made intraoperatively. By 10 months, the epithelial pearls became confluent and homogenously white with a sharp demarcation.

RESULTS: Because the epithelial ingrowth remained stationary till the last follow-up (13 months), no surgical intervention was planned. The central visual axis was clear and the best-corrected visual acuity was 20/40.

CONCLUSIONS: Epithelial ingrowth into the cornea may occur after an uncomplicated DSEK with stromal puncture. Patients undergoing DSEK should be closely monitored for development and progression of intracorneal epithelial ingrowth, especially when stromal punctures have been made to drain interface fluid.

Author List

Bansal R, Ramasubramanian A, Das P, Sukhija J, Jain AK

Author

Aparna Ramasubramanian MD Associate Professor in the Ophthalmology and Visual Sciences department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adult
Corneal Diseases
Corneal Stroma
Corneal Transplantation
Descemet Membrane
Endothelium, Corneal
Epithelium, Corneal
Eye Injuries, Penetrating
Humans
Male
Postoperative Complications
Punctures
Visual Acuity