title: Presumed stromal graft rejection after automated lamellar therapeutic keratoplasty: case report.
abstract: OBJECTIVE
  To describe the development of presumed immune-mediated stromal rejection after automated lamellar therapeutic keratoplasty (ALTK) and its reversal after initiation of intensive topical corticosteroid therapy.
  
  
  METHODS
  Observational case report.
  
  
  RESULTS
  Stromal edema localized in the graft developed 42 days after ALTK for Avellino corneal dystrophy in a 65-year-old man. After one week of intensive topical corticosteroids, complete reversal of graft edema occurred, with full recovery of visual function.
  
  
  CONCLUSIONS
  The clinical appearance and response to therapy in this case supported the diagnosis of immune-mediated stromal rejection. Ophthalmologists should be aware that stromal rejection may occur in lamellar corneal grafts.
authors.affiliation: Department of Ophthalmology, Tokyo Dental College, Chiba, Japan. motokok@tdc.ac.jp.
authors.forename: Motoko
authors.initials: M
authors.lastname: Kawashima
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Mochizuki
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Kawakita
authors.forename: Shin
authors.initials: S
authors.lastname: Hatoh
authors.forename: Jun
authors.initials: J
authors.lastname: Shimazaki
authors.forename: Masakazu
authors.initials: M
authors.lastname: Yamada