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October 1967

Epithelial Downgrowth

Author Affiliations

Miami, Fla
From the Department of Ophthalmology, University of Miami (Fla) School of Medicine, Bascom Palmer Eye Institute.

Arch Ophthalmol. 1967;78(4):492-495. doi:10.1001/archopht.1967.00980030494015

EPITHELIAL /PITHELIAL downgrowth is a well recognized clinical entity occurring after penetrating trauma or after a lens extraction. The diagnostic features emphasized are an irritable eye with increased intraocular pressure, and a membrane over the posterior corneal surface. Perera,1 Calhoun2, Theobald3, and Regan4 have reviewed the subject thoroughly. Although Calhoun2 has reported normal tensions in his series when a fistula is found connecting the anterior chamber to the exterior, there has been little clinical emphasis on this aspect of the disease. The following case is reported to focus more attention on this finding.

Report of a Case  A 40-year-old white man had the chief complaints of intermittent diplopia and increasingly poor vision of the eye for 19 years. There was a history of a right corneal ulcer in childhood but no history of trauma or syphilis. Physical examination revealed a best corrected visual acuity of

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