title: Epithelial downgrowth as a complication of toxic anterior segment syndrome.
abstract: We present a case of epithelial downgrowth that arose within 1 month of routine clear corneal phacoemulsification. The case was complicated by unexplained total corneal edema from the first postoperative day. Histological analysis following penetrating keratoplasty showed complete endothelial cell loss and an epithelial cyst on the internal surface of Descemet's membrane.
authors.affiliation: Department of Ophthalmology, Tayside University Hospitals NHS Trust, Dundee, Scotland. jwallace3@nhs.net
authors.forename: Elizabeth Jane
authors.initials: EJ
authors.lastname: Wallace
authors.forename: Fraser
authors.initials: F
authors.lastname: Imrie
authors.forename: Stuart
authors.initials: S
authors.lastname: Roxburgh
authors.forename: Joseph
authors.initials: J
authors.lastname: Coleiro
authors.forename: James
authors.initials: J
authors.lastname: Ironside
mesh_terms: D003316:Corneal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D015715:Corneal Edema / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D004728:Endothelium, Corneal / Q000473:pathology*; D004847:Epithelial Cells / Q000473:pathology; D019573:Epithelium, Corneal / Q000473:pathology*; D006801:Humans; D015948:Keratoplasty, Penetrating; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D012772:Shock, Septic / Q000150:complications*