title: Presumed allograft stromal rejection after deep anterior lamellar keratoplasty in a boy presenting with interface fluid syndrome.
abstract: Selective anterior lamellar corneal replacement procedures have resulted in fewer allograft rejections compared with penetrating keratoplasty. Deep anterior lamellar keratoplasty offers several advantages over conventional penetrating keratoplasty, significantly reducing the lifetime endothelial rejection. We report the case of a child with a presumed immune-mediated stromal rejection after deep anterior lamellar keratoplasty who presented with interface fluid, confirmed by optical coherence tomography, that subsequently resolved after prompt topical steroid treatment.
authors.affiliation: Cornea and Anterior Segment Services, L V Prasad Eye Institute, Kallam Anji Reddy Campus, Hyderabad; Department of Ophthalmology, Miles Center for Pediatric Ophthalmology, Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina. Electronic address: dr.muralidhar@icloud.com.
authors.forename: Muralidhar
authors.initials: M
authors.lastname: Ramappa
authors.forename: Swapnil
authors.initials: S
authors.lastname: Bhalekar
authors.forename: Sunita
authors.initials: S
authors.lastname: Chaurasia
authors.forename: Kaustubh
authors.initials: K
authors.lastname: Mulay
authors.forename: Rupal H
authors.initials: RH
authors.lastname: Trivedi
authors.forename: Marion Edward
authors.initials: ME
authors.lastname: Wilson
mesh_terms: D000293:Adolescent; D015715:Corneal Edema / Q000473:pathology*; D003319:Corneal Stroma; D016039:Corneal Transplantation; D005122:Exudates and Transudates; D006084:Graft Rejection / Q000473:pathology*; D006801:Humans; D008297:Male