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¹Assistant Prof. MD. Mersin University Medical Faculty, Ophthalmology Department, Mersin, Turkey
²Associate Prof. MD.Mersin University Medical Faculty, Ophthalmology Department, Mersin, Turkey
³Assistant Dr. Mersin University Medical Faculty, Ophthalmology Department, Mersin, Turkey
⁴Prof. Dr. MD. Mersin University Medical Faculty, Ophthalmology Department, Mersin, Turkey DOI : 10.37844/glauc.cat.2021.16.20 The aim of this study to discuss a patient who underwent scleral fi xation intraocular lens implantation and developed epithelial downgrowth during follow-up and its treatment. A 57-year-old male patient was admitted to our clinic with the complaint of decreased vision in his right eye. Vitreous hemorrhage was diagnosed in his right eye. Posterior capsule rupture was observed during surgery and intraocular lens was not implanted and vitrectomy was completed. Best corrected visual acuity increased to 20/200 and scleral fi xation with secondary intraocular lens implantation was performed. There was no postoperative complication and the patient had wound leakage at the 3rd week following the removal of the corneal sutures. In the ophthalmologic examination, seidel test was positive and the epithelium proliferated from the wound site to the inner surface of the cornea. The patient underwent wound exploration, cleaning of the wounds and membranes, lamellar keratectomy, suturing of the wounds and closure of the wound with a lamellar sclero-corneal patch graft. Postoperative follow-up showed stable wound site and no epithelial growth. Keywords : Epithelial downgrowth, Scleral fi xation, Sclero-corneal lamellar patch graft