An endothelial rejection line following Descemet stripping automated endothelial keratoplasty

BACKGROUND: The endothelial rejection line is rarely seen after Descemet stripping automated endothelial keratoplasties (DSAEKs). Here, we present a case of endothelial graft rejection with an endothelial rejection line occurring 1 year after the procedure. CASE PRESENTATION: A 58-year-old female pr...

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Detalles Bibliográficos
Autores principales: Alkhalifah, Muhannad, Alqahtani, Bader, Almulhim, Abdulmohsen, Alsarhani, Waleed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7392701/
https://www.ncbi.nlm.nih.gov/pubmed/32727405
http://dx.doi.org/10.1186/s12886-020-01575-x
Descripción
Sumario:BACKGROUND: The endothelial rejection line is rarely seen after Descemet stripping automated endothelial keratoplasties (DSAEKs). Here, we present a case of endothelial graft rejection with an endothelial rejection line occurring 1 year after the procedure. CASE PRESENTATION: A 58-year-old female presented with graft rejection 1 year following a DSAEK procedure. The episode started when she tapered down her loteprednol to once a day. Slit-lamp examination showed a mildly injected conjunctiva with 1+ corneal oedema. On the posterior surface of the cornea, there was an endothelial rejection line (Khodadoust line) with keratic precipitates and multiple areas of anterior synechia. CONCLUSION: The classic endothelial rejection line should be kept in mind as a rare sign of DSAEK graft rejection.

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