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First Author: J.Sengupta INDIA
Co Author(s): A. Khetan S. Saha
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To report the surgical technique and post operative management of Dalk in case of intracorneal epithelial ingrowth.
Tertiary care hospital of eastern India
A 23 year old male patient presenting with intracorneal cystic epithelial ingrowth through a limbal tract following trauma underwent DALK and endocautery of the libal fistulous tract followed 7 days later by a crescentic limbal patch graft with air injection in anterior chamber.
Preoperative anterior segment HRT demonstrated an intracorneal fistulous tract.Histopathological examination showed intracorneal ingrowth while the aspirated intracystic fluid demonstrated presence of squamous epithelial cells and degenerative elements.The graft cleared in the postoperative period but showed a spontaneous descemet detachment at 1 week following fluid accumulation through the limbal communication which was subsequently sealed with a limbal patch graft and air injection leading to reattatchment of the DM.The graft remains clear at the end of last follow up at 6 months.
Cystic intracorneal epithelial ingrowth following trauma can be managed by DALK.However spontaneous DM detachment can occur necessitaing additional surgeries