Epithelial ingrowth within the interface following traumatic corneal lamellar laceration.
A 45-year-old patient with a traumatic corneal lamellar laceration who was treated conservatively initially developed an epithelial ingrowth within the flap-stroma interface, causing diminished vision. Confocal microscopy revealed highly refractive bodies without cellular elements at the flap-stroma interface. Treatment comprised surgical debridement of the epithelial sheet from the interface with a thorough irrigation of the stromal bed followed by careful realignment of the flap. The diagnosis was confirmed by histologic examination of the scraped specimen. At the last follow-up examination, vision had improved and there was no recurrence of epithelial ingrowth. Proper primary management of a traumatic corneal lamellar laceration can provide good visual outcome and prevent rare complications such as epithelial ingrowth.
Bansal
Reema
R
Department of Ophthalmology, Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Jain
Arun K
AK
Sukhija
Jaspreet
J
D003316:Corneal Diseases / Q000209:etiology* / Q000601:surgery; D065306:Corneal Injuries; D003319:Corneal Stroma / Q000473:pathology; D003646:Debridement; D019573:Epithelium, Corneal / Q000473:pathology*; D005131:Eye Injuries / Q000601:surgery*; D005260:Female; D006801:Humans; D022125:Lacerations / Q000601:surgery*; D018613:Microscopy, Confocal; D008875:Middle Aged; D011183:Postoperative Complications; D013524:Surgical Flaps / Q000473:pathology*; D014792:Visual Acuity