Abstract
We present a case of epithelial downgrowth with intractable glaucoma after multiple intraocular surgeries. The eye was successfully managed with a pars plana approach. The iris and epithelial tissue over the ciliary body were removed with intraocular scissors and a vitrector combined with unipolar diathermy and endophotocoagulation. The use of moderate hypotensive anesthesia may have helped prevent intraoperative hemorrhage. During more than 3 years of follow-up, intraocular pressure ranged from 13 to 19 mm Hg, visual acuity was 20/80 with aphakic correction with a rigid gas-permeable lens, and there was no recurrence of epithelial downgrowth.
Publication types
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Case Reports
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Research Support, Non-U.S. Gov't
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Research Support, U.S. Gov't, P.H.S.
MeSH terms
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Adolescent
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Aphakia, Postcataract / etiology
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Aphakia, Postcataract / therapy
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Cataract Extraction
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Ciliary Body / pathology
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Ciliary Body / surgery*
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Contact Lenses
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Cysts / surgery
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Diathermy
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Epithelium, Corneal / pathology*
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Glaucoma / etiology
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Glaucoma / surgery
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Humans
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Intraocular Pressure
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Iris / pathology
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Iris / surgery*
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Iris Diseases / etiology
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Iris Diseases / surgery
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Laser Coagulation
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Male
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Molteno Implants
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Postoperative Complications / pathology
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Postoperative Complications / surgery*
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Uveal Diseases / etiology
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Uveal Diseases / surgery