Exaggerated subepithelial XXXX after anterior stromal puncture presenting as a membrane.

@entity1 @entity82 @entity146 @entity2372 @entity158
PURPOSE: The aim of the study was to describe the clinical features, histopathological findings, and management of eyes presenting with a thick membrane after anterior stromal puncture (ASP) for @entity2372 . STUDY DESIGN: Retrospective interventional case series. METHODS: Retrospective chart analysis of 3 eyes presenting with a thick membrane between 12-30 months after ASP was done. @entity1 presented with complaints of recurrent symptoms of @entity158 , watering, and @entity146 . The membrane was peeled off from the corneal surface in the operation room and sent for histopathological evaluation. A cryopreserved amniotic membrane was secured on the corneal surface using 10-0 nylon interrupted sutures. RESULTS: @entity1 reported alleviation of symptoms after the procedure and remained asymptomatic at the final follow-up (range 6-12 months). Histopathological evaluation of the excised membrane revealed the presence of a hyperplastic epithelium with loose fibrocollagenous tissue suggestive of subepithelial @entity82 . CONCLUSIONS: Subepithelial @entity82 after ASP, although a known entity, may rarely present as a thick membrane because of exaggerated response resulting in the recurrence of symptoms. This can be successfully managed by superficial keratectomy and amniotic membrane transplant.
