Work

An endothelial rejection line following Descemet stripping automated endothelial keratoplasty

Year: 2020

Type: article

Abstract: BACKGROUND: The endothelial rejection line is rarely seen after Descemet stripping automated endothelial keratoplasties (DSAEKs). Here, we present a case of endothelial graft rejection with an endothelial rejection line occurring 1 year after the procedure. CASE PRESENTATION: A 58-year-old female presented with graft rejection 1 year following a DSAEK procedure. The episode started when she tapered down her loteprednol to once a day. Slit-lamp examination showed a mildly injected conjunctiva with 1+ corneal oedema. On the posterior surface of the cornea, there was an endothelial rejection line (Khodadoust line) with keratic precipitates and multiple areas of anterior synechia. CONCLUSION: The classic endothelial rejection line should be kept in mind as a rare sign of DSAEK graft rejection.

Source: BMC Ophthalmology

DOI: 10.1186/s12886-020-01575-x

Authors: Muhannad Alkhalifah, Bader Alqahtani, Abdulmohsen Almulhim, Waleed Alsarhani

Institutions: King Saud University, Jouf University

Language: English

Topic: Corneal surgery and disorders

Subfield: Ophthalmology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,170