Epithelial ingrowth after extracapsular cataract surgery

A 58-year-old man underwent simple extracapsular cataract surgery in both eyes. After 2 years, the patient presented with a painful left eye. Intraocular pressure was 25 mmHg in the left eye. Slit-lamp examination showed a semi-transparent formation resembling bunches of grapes, located superotemporally in the anterior chamber Fig. 1. Fundus examination was normal in the both eyes. Given this clinical context, we suspected the diagnosis of epithelial downgrowth, which was subsequently confirmed through the anatomopathological study of the resected tissue. Epithelial ingrowth is a rare ophthalmologic disorder that can complicate intraocular surgery or result form penetrating ocular trauma.1 The incidence of this anomaly ranges from 0.076% to 0.12%.2 It can present in three forms: epithelial pearls, cysts, and sheets.3Figure 1: (a) Slit-lamp examination showed a semi-transparent formation resembling bunches of grapes. (b) A magnified view of the conditionDeclaration of patient consent The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed. Financial support and sponsorship: Nil. Conflicts of interest: There are no conflicts of interest.