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NR. 3(I)/2004
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Epithelial ingrowth
after cataract surgery
Zbigniew Zagórski
Skubiszewski Medical University
Tadeusz Krwawicz Chair of Ophthalmology and 1st Eye Hospital
Chairman: Zbigniew Zagórski, MD, PhD |
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| Summary: |
Purpose: to review
the pathogenesis of different forms of epithelial
ingrowth based on the experimental and
clinico-histopathological studies performed in
collaboration with the University Eye Hospital in
Erlangen, Germany and to present own experience with the
treatment of epithelial ingrowth by en-block excision of
the lesion.
Material and methods: five aphakic and
pseudophakic patients with epithelial ingrowth were
treated in recent years in our department. In 3 patients
en-block excision of the entire cystic growth was
performed. Remaining 2 patients referred with
undiagnosed advanced diffuse growth received only
palliative treatment.
Results: In 3 patients treated with the lesion
excision the eyeball integrity was preserved and some
useful vision was maintained after surgery (follow-up 16
months - 9 years). In one patient secondary glaucoma
required cyclodestructive procedure and topical
medications to control the IOP. In one patient with very
fast growing cyst histopathology of the excisate
revealed a sub-Descemet growth which seems to be very
unusual.
Conclusions: In spite of advances in the
microsurgical techniques epithelial ingrowth can still
occur after intracapsular and extracapsular cataract
extraction, even years after surgery and can pose
diagnostic difficulties, mainly in its diffuse form.
En-block excision seems to be the reliable method of
treatment of epithelial ingrowth, especially its cystic
form. |
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| Key words: |
epithelial ingrowth,
cataract surgery, en-block excision. |
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