Presumed stromal graft rejection after automated lamellar therapeutic keratoplasty: case report

نویسندگان

  • Motoko Kawashima
  • Hiroshi Mochizuki
  • Tetsuya Kawakita
  • Shin Hatoh
  • Jun Shimazaki
  • Masakazu Yamada
چکیده

PURPOSE To describe the development of presumed immune-mediated stromal rejection after automated lamellar therapeutic keratoplasty (ALTK) and its reversal after initiation of intensive topical corticosteroid therapy. METHODS Observational case report. RESULTS Stromal edema localized in the graft developed 42 days after ALTK for Avellino corneal dystrophy in a 65-year-old man. After one week of intensive topical corticosteroids, complete reversal of graft edema occurred, with full recovery of visual function. CONCLUSION The clinical appearance and response to therapy in this case supported the diagnosis of immune-mediated stromal rejection. Ophthalmologists should be aware that stromal rejection may occur in lamellar corneal grafts.

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عنوان ژورنال:
  • Journal of Medical Case Reports

دوره 1  شماره 

صفحات  -

تاریخ انتشار 2007