Epithelial downgrowth following surgery for congenital glaucoma.
OBJECTIVE
To report epithelial downgrowth following goniotomy.


METHODS
Observational case report.


METHODS
Surgical management of a child with congenital glaucoma and epithelial downgrowth.


RESULTS
One year after nasal goniotomy and multiple Ahmed valve revisions an epithelial inclusion cyst was noted adjacent to the clear corneal goniotomy incision. Ab externo drainage and limbal cryotherapy were required twice for recurrent growth of the cyst. Six months after the second treatment the eye remains cyst-free.


CONCLUSIONS
Epithelial downgrowth is a rare complication of surgery for glaucoma, but because of its potential to threaten sight it should always be considered as a possible complication.
Giaconi
Joann A
JA
Jules Stein Eye Institute, University of California, Los Angeles, California 90095, USA.
Coleman
Anne L
AL
Aldave
Anthony J
AJ
D003316:Corneal Diseases / Q000209:etiology* / Q000601:surgery; D017679:Cryotherapy; D003560:Cysts / Q000209:etiology* / Q000601:surgery; D004847:Epithelial Cells / Q000473:pathology*; D019573:Epithelium, Corneal / Q000473:pathology*; D005901:Glaucoma / Q000151:congenital* / Q000601:surgery*; D020327:Glaucoma Drainage Implants; D006801:Humans; D007223:Infant; D007429:Intraocular Pressure; D008297:Male; D019919:Prosthesis Implantation; D012086:Reoperation; D014130:Trabeculectomy / Q000009:adverse effects*