Epithelial ingrowth in the flap-graft interface after microkeratome-assisted posterior penetrating keratoplasty.

Journal Article (Journal Article)

A 79-year-old woman with pseudophakic bullous keratopathy had microkeratome-assisted posterior keratoplasty for the treatment of clinically significant corneal edema. An island of epithelial ingrowth was noted in the flap-graft interface that was not communicating with the flap periphery. Partial lifting of the anterior corneal flap and removal and irrigation of the epithelial cells were successfully performed. A review of reports of microkeratome-assisted posterior penetrating keratoplasty shows epithelial ingrowth is common after this procedure. The presence of posterior sutures, a central location of the epithelial cells, communication with the periphery, and evidence of stromal melting should prompt immediate surgical intervention.

Full Text

Duke Authors

Cited Authors

  • Perez, VL; Colby, KA; Azar, DT

Published Date

  • November 2003

Published In

Volume / Issue

  • 29 / 11

Start / End Page

  • 2225 - 2228

PubMed ID

  • 14670436

International Standard Serial Number (ISSN)

  • 0886-3350

Digital Object Identifier (DOI)

  • 10.1016/j.jcrs.2002.10.002


  • eng

Conference Location

  • United States