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New research · Ophthalmology
Cureus · 2d
Case reportCureus · 2026

Epithelial Downgrowth Mixed With Fibrous Ingrowth After Complicated Cataract Surgery: A Challenging Clinical Case.

Achilleas Mandalos, Dimitrios Tsouris, Paraskevi Markousi, George Kymionis
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OphthalmologyCase report

Combined surgery restored good vision after epithelial downgrowth complication

Epithelial Downgrowth Mixed With Fibrous Ingrowth After Complicated Cataract Surgery: A Challenging Clinical Case.

Achilleas Mandalos … George Kymionis
Cureus · 2026
Results
20/30
reading gauge showing vision recovered to near-normal after treatment
More results

In this paper, we describe the case of a 68-year-old man who developed mixed epithelial downgrowth and fibrous ingrowth (fibrous ingrowth) after complicated cataract surgery.

His clinical picture was initially misdiagnosed and treated as malignant glaucoma with only a brief period of improvement.

More results

Surgical removal of a specimen of the pathologic intraocular tissue, followed by its cytological analysis, confirmed the diagnosis.

“
Conclusion

This case illustrates the diagnostic and therapeutic challenges posed by epithelial downgrowth but also the importance of its multidisciplinary management in order to achieve the best possible visual outcome for the patient.

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