Superficial hypertrophic dendritic epitheliopathy occurring before and after penetrating keratoplasty in a patient with psoriasis.
OBJECTIVE
To report a patient with superficial hypertrophic dendritic epitheliopathy that occurred in 1 eye after keratoplasty and in the other eye that had not undergone previous corneal transplantation. In both eyes, the epitheliopathy recurred even after subsequent penetrating keratoplasties.


METHODS
Case report.


RESULTS
A patient with chronic eyelid and ocular surface disease secondary to psoriasis was monitored over a 17-year period. During this time, the patient developed a superficial hypertrophic dendritic epitheliopathy of the left eye 3 years after corneal transplantation. In the right eye, which had not undergone a penetrating keratoplasty, the patient was also noted to have a superficial hypertrophic dendritic epitheliopathy that changed morphologies over the ensuing 5.5 years. Both eyes subsequently required penetrating keratoplasties for decreased vision secondary to subepithelial scarring. After surgery, both corneas suffered recurrences of the superficial hypertrophic epitheliopathy.


CONCLUSIONS
In addition to the original findings that superficial hypertrophic dendritic epitheliopathy occurs in postkeratoplasty eyes, this condition can also occur in corneas that have not been transplanted previously. The morphology of these lesions can vary.
Jeng
Bennie H
BH
Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, OH 44195, USA. jengb@ccf.org
Downs-Kelly
Erinn
E
Langston
Roger H S
RH
D000328:Adult; D003316:Corneal Diseases / Q000175:diagnosis / Q000209:etiology*; D019573:Epithelium, Corneal / Q000473:pathology*; D005260:Female; D006801:Humans; D006984:Hypertrophy; D015948:Keratoplasty, Penetrating; D011183:Postoperative Complications; D011565:Psoriasis / Q000150:complications*; D012008:Recurrence; D012086:Reoperation