Interface lamellar keratitis induced by a post-Descemet stripping automated endothelial keratoplasty corneal trauma.

Détails

ID Serval
serval:BIB_9AFFCDEE04DA
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Interface lamellar keratitis induced by a post-Descemet stripping automated endothelial keratoplasty corneal trauma.
Périodique
Cornea
Auteur(s)
Kymionis G.D., Plaka A.D., Limnopoulou A.N., Rallis K.I., Grentzelos M.A., Ziakas N.
ISSN
1536-4798 (Electronic)
ISSN-L
0277-3740
Statut éditorial
Publié
Date de publication
03/2013
Peer-reviewed
Oui
Volume
32
Numéro
3
Pages
362-364
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Résumé
A 78-year-old female patient suffering from Fuchs endothelial dystrophy had uneventful Descemet stripping automated endothelial keratoplasty (DSAEK) on the right eye. One and a half months postoperatively, she underwent a corneal foreign body trauma and was referred to our clinic, complaining about vision deterioration. Slit-lamp examination revealed a severe and diffuse interface lamellar keratitis between the DSAEK graft and the recipient's cornea without any signs of graft dysfunction. Intensive treatment with local corticosteroids was applied immediately, resulting in prompt improvement of both visual acuity and clinical condition. A new clinical entity, described as interface lamellar keratitis after corneal trauma in a DSAEK patient, is presented. Early diagnosis and appropriate intensive treatment with local corticosteroids are essential to successfully address this uncommon post-DSAEK complication.
Mots-clé
Aged, Cell Count, Corneal Injuries, Corneal Pachymetry, Descemet Stripping Endothelial Keratoplasty, Dexamethasone/therapeutic use, Endothelium, Corneal/pathology, Eye Foreign Bodies/etiology, Eye Injuries, Penetrating/etiology, Female, Fuchs' Endothelial Dystrophy/surgery, Glucocorticoids/therapeutic use, Humans, Keratitis/diagnosis, Keratitis/drug therapy, Keratitis/etiology, Microscopy, Confocal, Middle Aged, Postoperative Period, Tomography, Optical Coherence, Visual Acuity/physiology
Pubmed
Web of science
Création de la notice
01/10/2019 14:17
Dernière modification de la notice
06/10/2019 6:26
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