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Journal of Medical Case Reports
Published in: Journal of Medical Case Reports 1/2007

Open Access 01-12-2007 | Case report

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

Authors: Motoko Kawashima, Hiroshi Mochizuki, Tetsuya Kawakita, Shin Hatoh, Jun Shimazaki, Masakazu Yamada

Published in: Journal of Medical Case Reports | Issue 1/2007

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Abstract

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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Metadata
Title
Presumed stromal graft rejection after automated lamellar therapeutic keratoplasty: case report
Authors
Motoko Kawashima
Hiroshi Mochizuki
Tetsuya Kawakita
Shin Hatoh
Jun Shimazaki
Masakazu Yamada
Publication date
01-12-2007
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2007
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-1-10

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