title: Successful argon laser photocoagulation of diffuse epithelial ingrowth following concomitant persistent pupillary membrane removal and phacoemulsification.
abstract: A 57-year-old woman had concomitant surgery of persistent pupillary membrane removal and uneventful phacoemulsification through the same temporal clear corneal incision in her left eye. Short axial lengths (right eye, 21.08 mm; left eye, 20.39 mm) with shallow angles were noted bilaterally, and other findings were not remarkable. The patient experienced angle-closure attacks 3 and 7 months postoperatively. At the second angle-closure attack, diffuse epithelial ingrowth was observed. The epithelial ingrowth covered the intraocular lens surface in the interpupillary area, the iris surface surrounding the pupil, and the temporal anterior chamber angle, but did not reach the corneal endothelial incision. After observation of iris blanching with laser photocoagulation, argon laser photocoagulation was applied to the epithelium covering the iris and angle 7 times during the following month. The epithelial ingrowth was completely removed and did not recur during the 36-month follow-up.
  
  
  BACKGROUND
  No author has a financial or proprietary interest in any material or method mentioned.
authors.affiliation: Corneal Dystrophy Research Institute, Yonsei University College of Medicine, Seoul, South Korea.
authors.forename: Kyung Eun
authors.initials: KE
authors.lastname: Han
authors.forename: Chan Yun
authors.initials: CY
authors.lastname: Kim
authors.forename: Jae Lim
authors.initials: JL
authors.lastname: Chung
authors.forename: Jin Pyo
authors.initials: JP
authors.lastname: Hong
authors.forename: Bradford
authors.initials: B
authors.lastname: Sgrignoli
authors.forename: Eung Kweon
authors.initials: EK
authors.lastname: Kim
mesh_terms: D000867:Anterior Chamber / Q000473:pathology*; D003315:Cornea / Q000601:surgery; D003316:Corneal Diseases / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D019573:Epithelium, Corneal / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D017075:Laser Coagulation; D054020:Lasers, Gas; D053844:Lasers, Solid-State; D008875:Middle Aged; D018918:Phacoemulsification; D011183:Postoperative Complications; D011681:Pupil Disorders / Q000601:surgery*