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ISSN 1561-3070 (Electronic)

2015, Number 1

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Rev Cub Oftal 2015; 28 (1)

Crystalline keratopathy in EL-DSEK

Cárdenas DT, Guerra AM, Hernández LI, Cruz ID, Miranda HI

Language: Spanish
References: 28
Page: 138-145
PDF size: 146.47 Kb.


ABSTRACT

Crystalline keratopathy is a rare and characteristic manifestation, although not unique in infectious keratitis for Streptococcus mitis. It causes white stromal infiltrate that resemble arboriform crystals, with minimal inflammatory response. It has been related with the prolonged use of topical corticoids after penetrating keratoplasty and poorly responds to the antibiotic treatment. Two women aged more than 65 years, with history of endokeratoplasty (EL-DSEK) for pseudophakic bullous keratopathy performed by several surgeons, who also developed a white intrastromal infiltrate, similar to arboriform crystals and almost any inflammatory response. When suspecting crystalline infection, frequent topical antibiotic treatment is prescribed with no real improvement, thus requiring penetrating keratoplasty.


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