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Graft rejection after deep anterior lamellar keratoplasty in fellow eye in macular corneal dystrophy: a case report

Life Research 2022年第1期5卷 25-28页

作者： He Dong Jian Yu Xun Wang Jun-Zhang Li Department of Ophthalmology The Third People’s Hospital of DalianNon-Directly Affiliated Hospital of Dalian Medical UniversityDalianChina Department of Neurosurgery The Third People’s Hospital of DalianNon-Directly Affiliated Hospital of Dalian Medical UniversityDalianChina.

Because of the low incidence of immunological rejection,deep anterior lamellar keratoplasty(DALK)is currently the preferred treatment for macular corneal dystrophy(MCD).However,there were few reports about whether the consistent results were obtained when performing DALK in both eyes for MCD,especially when the corneal grafts were taken from different ***,there were few reports about whether the stromal graft rejection occurred typically in both eyes in MCD with *** case may represent the first report of an unusual and misleading manifestation of stromal graft rejection after uneventful DALK with big bubble technique in the fellow eye in MCD.A 32-year-old healthy man with MCD underwent bilateral uneventful DALK with a big bubble technique in the left eye in January and the right eye in July,the corneal grafts were taken from different *** was an atypical allograft rejection that occurred in the right eye and none in the left eye;although a timely diagnosis of graft rejection revealed following aqueous determination,it could not be reversed and underwent PK *** purpose of this case report is to illustrate the identification of atypical allograft rejection after DALK in the fellow eye,the significance of aqueous detection in the diagnosis of graft rejection,the choosing of grafts,and the timing of bilateral corneal transplantation in patients with MCD.

关键词： macular corneal dystrophy deep anterior lamellar keratoplasty postoperative rejection viral keratitis

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