Metaplastic Squamous Epithelial Downgrowth After Clear Corneal Cataract Surgery - 18/08/11
Inquiries to Erich C. Strauss, MD, Proctor Foundation, 95 Kirkham Street, San Francisco, CA 94143Résumé |
Purpose |
To report a case of metaplastic squamous epithelial downgrowth after cataract surgery.
Design |
Interventional case report.
Methods |
Clinical, laboratory, and histologic findings are presented. Our study is in compliance with institutional review board guidelines.
Results |
A 76-year-old man developed anterior chamber inflammation five months after uncomplicated clear corneal cataract surgery. Despite antimicrobial and anti-inflammatory therapies, the inflammation persisted. An extensive examination failed to demonstrate an infectious etiology or lymphoma. Subsequently, the patient developed an incipient limbal lesion and iris mass. Immunostaining of a biopsy specimen from the iris mass indicated an epithelial-derived tumor. The prephthisical and painful eye was enucleated; histopathology of the globe revealed a contiguous lesion extending from the limbal mass to the iris tumor through the surgical incision site, a finding consistent with metaplastic squamous epithelial downgrowth. Systemic evaluation was negative.
Conclusions |
After intraocular surgery, metaplastic epithelial downgrowth may occur as a consequence of occult ocular surface squamous neoplasia and masquerade as chronic inflammation; clinicians should be aware of this rare complication.
Le texte complet de cet article est disponible en PDF.| Supported in part by NIH/NEI grant EY014419 (E.C.S) and the Ocular Immunology Fund (E.C.S). |
Vol 142 - N° 4
P. 695-697 - octobre 2006 Retour au numéro
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