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.
Department of Ophthalmology, Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Reema
R
Bansal
Arun K
AK
Jain
Jaspreet
J
Sukhija
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