A Case of Epithelial Downgrowth as a Complication of Penetrating Keratoplasty.

Kim, Jae Ho; Yoon, Duck Kyun

Case Report

Journal of the Korean Ophthalmological Society 1978;19(1):75-79.
Published online January 1, 1978.

A Case of Epithelial Downgrowth as a Complication of Penetrating Keratoplasty.

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

전층각막이식 후에 생긴 Epithelial Downgrowth

김재호 , 윤덕근 ( Jae Ho Kim , Duk Keun Yoon )

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.