title: Acute hydrops in the donor cornea graft in non-keratoconus patients.
abstract: A 44-year-old Hispanic male and 91-year-old Caucasian male presented to the clinic with acute vision loss and pain years after penetrating keratoplasty (PKP). Neither patient had a history of keratoconus. Both patients had a history of eye rubbing and intraocular device present in the anterior chamber. The first patient had a history of a glaucoma drainage tube and the second patient had an anterior chamber intraocular lens implanted. Anterior segment ocular coherence tomography showed deep stromal cystic cavities. Both patients exhibited breaks in the endothelium by ultrasound biomicroscopy and the histopathologic examination after repeat PKP. Those findings were most consistent with acute corneal hydrops in the donor graft.
authors.affiliation: Department of Ophthalmology, Naval Medical Center San Diego, San Diego, USA.
authors.forename: John B
authors.initials: JB
authors.lastname: Cason
authors.forename: Samuel C
authors.initials: SC
authors.lastname: Yiu
mesh_terms: D000208:Acute Disease; D000328:Adult; D000369:Aged, 80 and over; D000867:Anterior Chamber / Q000473:pathology; D003315:Cornea; D015715:Corneal Edema / Q000175:diagnosis / Q000209:etiology*; D016039:Corneal Transplantation; D005901:Glaucoma / Q000601:surgery; D020327:Glaucoma Drainage Implants; D006801:Humans; D007640:Keratoconus / Q000175:diagnosis; D008297:Male; D033401:Microscopy, Acoustic; D011183:Postoperative Complications; D014019:Tissue Donors; D041623:Tomography, Optical Coherence
keywords: Corneal transplant; Descemet's membrane; Hydrops