J Korean Ophthalmol Soc.  1978 Mar;19(1):75-79.

A Case of Epithelial Downgrowth as a Complication of Penetrating Keratoplasty

Affiliations
  • 1Department of Ophthalmology, Catholic Medical College, Seoul, Korea.
  • 2Eye Section, Choong-Chung Buk-Do Medical Center, Chung-Joo-City, Korea.

Abstract

Authors have experienced a case (aged 24, female) of epithelial downgrowth following partial penetrating keratoplasty. Clinically, this patient was received 7mm penetrating keratoplasty due to herpetic corneal Scar of right eye. After keratoplasty, iris prolapse through the wound dehiscence was occurred and then it was closed immediately with resection of prolapsed iris tissue. But, thereafter, the graft showed haziness which is suspected as a immune reaction and eventually the graft became irreversible opaque. A cosmetic epikeratoprosthesis waS attached on the opaque eye. But intractable secondary glaucoma was not controlled by medications. Finally the illed eye was enucleated and was confirmed histopathologically the main cause of graft failure which was presumed due to epithelial downgrowth into the anterior chamber.


MeSH Terms

Anterior Chamber
Cicatrix
Corneal Transplantation
Glaucoma
Humans
Iris
Keratoplasty, Penetrating*
Prolapse
Transplants
Wounds and Injuries
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