BACKGROUND: Epikeratoplasty for keratoglobus performed to tectonically
support the thin globular cornea may have complications such as inter
face opacities. METHODS: We report the case of a patient with persiste
nt interface opacities and epithelial cysts following epikeratoplasty
for keratoglobus that were treated primarily by washouts and repeated
argon laser photocoagulation. RESULTS: Interface opacities led to mass
ive epithelial inclusion cysts. Direct removal of these cysts and plac
ement of a new lamellar graft resulted in a favorable outcome. CONCLUS
ION: Massive epithelial inclusion cysts may develop in the lamellar in
terface after epikeratoplasty. Direct surgical removal was successful.