[Two cases of snowflake-like keratitis].
Patient 1 developed snowflake-like keratitis without inflammatory response in a decompensated corneal allograft. Patient 2, who had a history of repeated corneal grafting, also developed corneal opacification which initially appeared thread-like but quickly expanded. In both patients regrafting was necessary. Histological examination of the excised corneas demonstrated dense populations of Gram-positive bacteria in the interlamellar spaces. A surrounding inflammatory reaction was lacking, which is typical for infectious crystalline keratopathy (ICK).
Universitäts-Augenklinik Freiburg, Killianstr. 5, Freiburg, Deutschland. laura.bredow@uniklinik-freiburg.de
L
L
Bredow
T
T
Reinhard
C
C
Auw-Hädrich
D000369:Aged, 80 and over; D001424:Bacterial Infections / Q000175:diagnosis* / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D003230:Conjunctival Neoplasms / Q000601:surgery*; D003315:Cornea / Q000473:pathology; D065306:Corneal Injuries; D003318:Corneal Opacity / Q000175:diagnosis* / Q000601:surgery; D016039:Corneal Transplantation; D003320:Corneal Ulcer / Q000601:surgery*; D006084:Graft Rejection / Q000175:diagnosis* / Q000601:surgery; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis; D006095:Gram-Positive Cocci; D006801:Humans; D007634:Keratitis / Q000175:diagnosis* / Q000601:surgery; D008297:Male; D008854:Microscopy, Electron; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis* / Q000601:surgery; D012086:Reoperation