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FP1573 : An old adversary with new tricks: Atypical case of epithelial downgrowth post cataract surgery

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FP1573 : An old adversary with new tricks: Atypical case of epithelial downgrowth post cataract surgery

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Dr.Sanket Bhatnagar, B16754

Epithelial downgrowth,a migration of corneal or conjunctival epithelial tissue is commonly seen after ocular surgeries. It presents as a challenge at both diagnostic stage and during management. A common presenting sign is a retrocorneal membrane which appears as a greyish white deposit on the endothelium. Here we present a case of epithelial downgrowth in a pt with epithelial cell migration between the descemet’s and the endothelium. A 65 year old male presented to the OPD with complaints of blurring of vision in left eye more than right eye since 1 year. Pt was operated for cataract 6 yrs back. On slit lamp examination, in the left eye, a greyish fluid with cellular deposit was seen retrocorneally. On AS OCT, a membrane with migratory epithelial cells was noted between the descemet’s and an intact endothelium. Subdescemet’s epithelial downgrowth is a rare finding picked up on AS OCT which helps in management and understanding the pathogenesis of the condition better.

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