Abstract
A 45-year-old patient with a traumatic corneal lamellar laceration who was treated conservatively initially developed an epithelial ingrowth within the flap-stroma interface, causing diminished vision. Confocal microscopy revealed highly refractive bodies without cellular elements at the flap-stroma interface. Treatment comprised surgical debridement of the epithelial sheet from the interface with a thorough irrigation of the stromal bed followed by careful realignment of the flap. The diagnosis was confirmed by histologic examination of the scraped specimen. At the last follow-up examination, vision had improved and there was no recurrence of epithelial ingrowth. Proper primary management of a traumatic corneal lamellar laceration can provide good visual outcome and prevent rare complications such as epithelial ingrowth.
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