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Recurrent bilateral ketaroconus after successful penetrating keratoplasty

Poster Details

First Author: L.Garcia Padilla SPAIN

Co Author(s):    A. Baeza Autillo   B. García-Valcarcel Gonzalez   S. Miraflores Gómez   C. Chau Ramos   P. Balado Vazquez  

Abstract Details



Purpose:

To remember one of the late complications after successful Penetrating Keratoplasty in patiens with the previus diagnosis of Keratoconus

Setting:

Hospital General Universitario Gregorio Marañon, Madrid, Spain

Methods:

Keratoconus is an axial bilateral non inflammatory corneal ectasia of unkwon etiology. Its have been associated with many systemic and ocular diseases. It is kwon that it could hace an inheritance pattern Penetrating Keratoplasty is a therapeutic option in advanced cases Recurrent Keratoconus is a possible late complication of successful Keratoplasties To do this we present a clinical case of a 57 year-old woman who undergone successfully bilateral penetrating corneal grafts for keratoconus 24 years ago for OS and 22 years ago for OR. Slit Lamp, corneal topography, were performed

Results:

CLINICAL CASE 57 year-old woman who undergone successfully bilateral penetrating corneal grafts for keratoconus 24 years ago for OS and 22 years ago for OR She had not history of Eye Rubbing. Osteoporosis Laser in OS for a retinal whole in OS Best Corrected VA: OR: 0.7 OS:0.2 Slit Lamp: OR: Transparent Corneal Graft with vertical striae at Descement´s membrane (Vogt-like). No signs of allograft Rejection OS: Transparent Corneal Graft with stromal thinning in temporal. No signs of allograft Rejection IOP OR: 10 mmHg OS: 12 mmHg Fundus: OR: Normal. OS: Late Laser signs at 12 o´clock. Retinal Whole sealed Topography SimK Values OR: 53.37D@150 46.50D@60 Astigmatism 6.87D OS: 60.62D@36 48.12D@126 Astigmatism 12.50D

Conclusions:

Keratoconus is an axial bilateral non inflammatory conreal ectasia of unkwon etiology. Its have been associated with many systemic and ocular diseases. It is kwon that it could hace an inheritance pattern Penetrating Keratoplasty is a therapeutic option in advanced cases Recurrent Keratoconus is a possible late complication of successful Keratoplasties FINANCIAL INTEREST: NONE

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