Case Report: Traumatic Intracorneal Epithelial Ingrowth

A 20-year old male patient sustained trauma to the right eye by stone 7 years prior to presentation. The patient's right eye had corneal scar, sectoral traumatic cataract and chronic retinal detachment in which retinal detachment repair was done. Seven years later, the patient presented with intracorneal epithelial ingrowth, which was confirmed by histopathology. Conjuctival peritomy was done superotemporally and with help of Sinskey hook, a fistula was detected between the limbus and the cornea. An irrigating cannula was entered through the fistula and the intracorneal lesion was aspirated out and sent to histopathology. The limbal fistula was closed after thorough irrigation and aspiration of intracorneal lesion. Conclusions: Intracorneal epithelial ingrowth can occur after a penetrating corneal injury. The irrigation of epithelial cells and closure of any existing fistula improve the visual outcome and prevent the ingrowth progression.