Late complications of combined radial and transverse keratotomy after penetrating keratoplasty associated with atopic keratoconjunctivitis.
A 31-year-old man underwent bilateral penetrating keratoplasties for keratoconus. He had intolerable anisometropia postoperatively, with high irregular myopic astigmatism in the left eye. He could not wear contact lenses. A combined radial keratotomy and transverse keratotomy were performed, resulting in improved visual acuity. One year post-operatively he developed rapid vascularization of two of the radial incisions. This was associated with an acute allograft rejection, graft failure, and progressive changes in corneal topography.
Young
S R
SR
Department of Ophthalmology, University of Utah School of Medicine, Salt Lake City.
Lundergan
M K
MK
Olson
R J
RJ
D000328:Adult; D015858:Anisometropia / Q000150:complications / Q000601:surgery; D003233:Conjunctivitis, Allergic / Q000150:complications / Q000209:etiology*; D003315:Cornea / Q000098:blood supply; D006084:Graft Rejection; D006801:Humans; D007640:Keratoconus / Q000601:surgery; D015948:Keratoplasty, Penetrating / Q000009:adverse effects*; D007646:Keratotomy, Radial / Q000009:adverse effects*; D008297:Male; D009389:Neovascularization, Pathologic / Q000473:pathology; D014792:Visual Acuity