Management of keratoplasty in the early stages.
Frequent, if not daily, slit-lamp examination of the patient with a penetrating transplant is indicating for more than one reason: it will lead to the early detection of any defect of the host-graft junction or of the graft's posterior surface; it will permit an early diagnosis of the peripheral cornea-iris touch syndrome with all its potential consequences (acute, irreversible mydriasis, iris atrophy, and now and then secondary glaucoma); it will give an exact clue to when to remove the continuous sutures long after these have been covered by epithelium; and it will alert the surgeon in the event of a localised infection. Early and late opacification of the graft will also be correctly appraised, so that the surgeon will know when to wait and when to take the appropriate action.
D003315:Cornea / Q000503:physiopathology; D003316:Corneal Diseases / Q000503:physiopathology; D016039:Corneal Transplantation; D006084:Graft Rejection; D006801:Humans; D011182:Postoperative Care / Q000379:methods*; D014184:Transplantation, Homologous