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CASE REPORT
Year : 2022  |  Volume : 2  |  Issue : 2  |  Page : 388-390

Hyperacute stromal and endothelial rejection in therapeutic penetrating keratoplasty with residual intra-stromal crystalline deposits


1 Department of Cornea and Refractive Surgery, Sankara Nethralaya, Medical Research Foundation, Chennai- 600 006, Tamil Nadu, India
2 Department of Uvea, Sankara Nethralaya, Medical Research Foundation, Chennai- 600 006, Tamil Nadu, India
3 Department of Optometry, Sankara Nethralaya, Medical Research Foundation, Chennai- 600 006, Tamil Nadu, India

Correspondence Address:
Bhaskar Srinivasan
Sankara Nethralaya, Medical Research Foundation, 18, College Road, Chennai - 600 006, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2443_21

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Stromal rejection is rare and uncommonly seen in its pure form. We report a case of hyperacute stromal rejection followed by endothelial rejection post-therapeutic penetrating keratoplasty (PK) done for fungal keratitis. The rejection episode responded to steroids with a clearing of the graft. Residual mid to deep intra-stromal crystalline deposits remained at the area of stromal rejection, which remained stationary for a follow-up period of 1 year. The patient underwent Anterior segment optical coherence tomography (AS-OCT) to demonstrate the condition objectively.


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