title: Epithelial Downgrowth after Intraocular Surgery Treated with Intracameral 5-Fluorouracil.
abstract: Purpose. To present the clinical and histopathologic correlation of two cases of epithelial downgrowth (EDG) after prior intraocular surgery. Methods. Observational case reports. Results. We present two cases of EDG occurring after intraocular surgery. In both cases, after two anterior chamber injections of 5-fluorouracil (5FU), the area of EDG initially regressed. In Case 1, a limited area of EDG eventually recurred, and penetrating keratoplasty with cryotherapy was curative. In Case 2, subsequent corneal edema required Descemet-stripping automated endothelial keratoplasty, and the patient remained clinically free of EDG without further treatment. Conclusion. Intracameral 5FU may have a role in the treatment of EDG after intraocular surgery, though its precise utilization and impact remain to be defined.
authors.affiliation: Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA 19107, USA.
authors.forename: Nina
authors.initials: N
authors.lastname: Ni
authors.affiliation: The Eye Institute, Tulsa, OK, USA.
authors.forename: Marc A
authors.initials: MA
authors.lastname: Goldberg
authors.affiliation: Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA 19107, USA.
authors.forename: Ralph C
authors.initials: RC
authors.lastname: Eagle
authors.affiliation: Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA 19107, USA.
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Rapuano
authors.affiliation: Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA 19107, USA.
authors.forename: Julia A
authors.initials: JA
authors.lastname: Haller