CPT® Code 65900

Epithelial downgrowths, also known as ingrowths, represent a significant complication that can arise following either surgical or nonsurgical trauma to the eye. This condition occurs when the corneal or conjunctival epithelium infiltrates the anterior chamber of the eye, leading to abnormal growth on critical structures such as the back of the cornea, the trabecular meshwork, and/or the anterior surface of the iris. Clinically, epithelial downgrowths may manifest in various forms, including fluid-filled cystic lesions or as free-floating epithelial cells within the anterior chamber. Patients may experience a range of symptoms associated with this condition, including ocular pain, elevated intraocular pressure which can lead to glaucoma, and signs of inflammation. The management of epithelial downgrowth typically involves a surgical procedure to remove the aberrant epithelial tissue, which is performed under topical anesthesia to ensure patient comfort. The procedure is conducted using specialized instruments and techniques to accurately locate and excise the downgrowth while preserving surrounding ocular structures.