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Successful management of epithelial ingrowth after sequential intracameral 5-fluorouracil and Descemet-stripping automated endothelial keratoplasty.

Abstract：

:To describe the successful treatment of epithelial ingrowth using combined surgical excision with intracameral adjuvant 5-fluorouracil (5-FU) followed by Descemet-stripping automated endothelial keratoplasty (DSAEK). A 71-year-old man presented with epithelial ingrowth after clear corneal phacoemulsification. He underwent surgical excision of the membrane together with pars plana vitrectomy, air fluid exchange, and intracameral 5-FU. This treatment resulted in corneal decompensation for which DSAEK was performed 6 months later. Despite interface haze, the postoperative corrected distance visual acuity returned to 20/40 three months after DSAEK. There was no clinical evidence of recurrence of the epithelial ingrowth 9 months after the surgical removal. Intracameral 5-FU can be used in conjunction with surgical excision and subsequent DSAEK to successfully treat epithelial ingrowth.

journal_name

J Cataract Refract Surg

journal_title

Journal of cataract and refractive surgery

authors

Koenig SB,Koenig LR,Connor TB,Simons KB

doi

10.1016/j.jcrs.2018.12.030

subject

Has Abstract

pub_date

2019-05-01 00:00:00

pages

690-693

issue

5

eissn

0886-3350

issn

1873-4502

pii

S0886-3350(19)30112-9

journal_volume

45

pub_type

杂志文章

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