Endoresection of the iris and ciliary body in epithelial downgrowth.
We present a case of epithelial downgrowth with intractable glaucoma after multiple intraocular surgeries. The eye was successfully managed with a pars plana approach. The iris and epithelial tissue over the ciliary body were removed with intraocular scissors and a vitrector combined with unipolar diathermy and endophotocoagulation. The use of moderate hypotensive anesthesia may have helped prevent intraoperative hemorrhage. During more than 3 years of follow-up, intraocular pressure ranged from 13 to 19 mm Hg, visual acuity was 20/80 with aphakic correction with a rigid gas-permeable lens, and there was no recurrence of epithelial downgrowth.
Peyman
G A
GA
LSU Eye Center, Louisiana State University Medical Center School of Medicine, New Orleans 70112-2234, USA.
Peralta
E
E
Ganiban
G J
GJ
Kraut
R
R
D000293:Adolescent; D001036:Aphakia, Postcataract / Q000209:etiology / Q000628:therapy; D002387:Cataract Extraction; D002924:Ciliary Body / Q000473:pathology / Q000601:surgery*; D003261:Contact Lenses; D003560:Cysts / Q000601:surgery; D003972:Diathermy; D019573:Epithelium, Corneal / Q000473:pathology*; D005901:Glaucoma / Q000209:etiology / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure; D007498:Iris / Q000473:pathology / Q000601:surgery*; D007499:Iris Diseases / Q000209:etiology / Q000601:surgery; D017075:Laser Coagulation; D008297:Male; D018465:Molteno Implants; D011183:Postoperative Complications / Q000473:pathology / Q000601:surgery*; D014603:Uveal Diseases / Q000209:etiology / Q000601:surgery