Effective Treatment of Epithelial Downgrowth in Persistent Wound Leak Following Removal of Silicone Oil
Journal Title: Journal of Clinical and Diagnostic Research - Year 2018, Vol 12, Issue 7
Abstract
This case report aims to share the successful management of Epithelial Downgrowth (ED) which occurred following persistent wound leak, after Removal of Silicone Oil (ROSO) via the anterior chamber. A teenage male with history of high myopia underwent bilateral phacoemulsification and implantation of Multifocal Intraocular Lens (MFIOLs). Four months later, he complained of left eye floaters and blurring of vision. Fundus showed left vitreous haemorrhage with lens subluxation. Left 23 gauge pars plana vitrectomy revealed multiple retinal tears. Endolaser and gas injection with MFIOL repositioning was done. Retinal redetachment and MFIOL subluxation occurred six weeks postoperatively. Revision vitrectomy with silicone oil and explantation of MFIOL was performed rendering left eye aphakic. Four months later, he underwent ROSO via a superior corneal incision. Positive Seidels was seen two weeks post-ROSO and resuturing was performed. Unfortunately, advancing ED was noted at the superior cornea. One month after ROSO, scleral fixated IOL implantation with manual removal of ED and intracameral injection of 5-fluorouracil (5-FU) were performed. Twelve months postoperatively, cornea remained clear with a pinhole vision of 6/7.5 and retina was flat. In conclusion, wound leak after ROSO via the anterior chamber in aphakic individuals may predispose to ED. Key to treatment of this sight threatening condition is thoughtful anterior segment examination. Manual removal of the membrane combined with 5-FU injection during secondary lens implantation surgery is an effective treatment.
Authors and Affiliations
Mae-Lynn Catherine BASTION, Kong Yong Then, AIDA Mohd ZAHIDIN
Keywords
Related Articles
- EP ID EP523915
- DOI 10.7860/JCDR/2018/36315.11780
- Views 55
- Downloads 0
Effect of Height, Weight and BMI on Foot Postures of Young Adult Individuals
ABSTRACT Introduction: The foot posture is maintained on three bony arches: the medial longitudinal, the lateral longitudinal and the transverse arch. It varies as the age of an individual advances. Abnormalities in the...
Bardet-Biedl Syndrome Late Diagnosis with a Great Disability: A Case Report
ABSTRACT The Bardet-Biedl Syndrome (BSS) is a genetic disease based on autosomal recessive disorder characterised by non-allelic heterogeneity. The prevalence in the European population is only 1 in 160,000 live births....
Changes in Haematological Parameters in Newborns Born to Preeclamptic Mothers - A Case Control Study in a Rural Hospital
Introduction: Pregnancy is a physiological phenomenon. However, some women develop problems during pregnancy period, which puts both the mother's and the foetus health at risk. Hypertensive disorders of pregnancy are the...
Oral Leukoplakia Management using Diode LASER: A Case Report
ABSTRACT Management of oral leukoplakia should begin with elimination of predisposing habits. Several treatment modalities have been proposed for the treatment of Leukoplakia. Excision of precancerous oral lesions using...
Statistical Comments on "Assessment of Musculoskeletal Strength and Levels of Fatigue During Different Phases of Menstrual Cycle in Young Adults"
Letter to Editor