ENDORESECTION OF THE IRIS AND CILIARY BODY IN EPITHELIAL DOWNGROWTH

We present a case of epithelial downgrowth with intractable glaucoma a fter multiple intraocular surgeries. The eye was successfully managed with a-pars plana approach. The iris and epithelial tissue over the ci liary body were removed with intraocular scissors and a vitrector comb ined with unipolar diathermy and endophotocoagulation. The use of mode rate hypotensive anesthesia may have helped prevent intraoperative hem orrhage. During more than 3 years of follow-up, intraocular pressure r anged from 13 to 19 mm Hg, visual acuity was 20/80 with aphakic correc tion with a rigid gas-permeable lens, and there was no recurrence of e pithelial downgrowth.