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February 1994

Corneal Graft Rejection Episode After Excimer Laser Phototherapeutic Keratectomy

Author Affiliations

Chicago, Ill

Arch Ophthalmol. 1994;112(2):157. doi:10.1001/archopht.1994.01090140031011

With regard to the recent article by Hersh and associates,1 we would like to report that we have also treated a similar patient. He was a 43-year-old man who had undergone a penetrating keratoplasty in the left eye for keratoconus with contact lens intolerance on July 27, 1989. The donor cornea was secured with 12 interrupted 10-0 nylon sutures and a running 11-0 nylon suture. The 7.7-mm donor cornea was placed in a 7.5-mm recipient bed. The patient's best corrected visual acuity with spectacles was 20/25 OS on March 5, 1991, with a refraction of −5.50±1.25×30°. The patient suffered one episode of nonspecific acute ocular inflammation 1 year postoperatively. No endothelial rejection lines, keratic precipitates, or edema were noted. The patient presented with a mild anterior chamber reaction. This reaction was treated as a presumed allograft rejection episode with topical hourly 1% prednisolone acetate for 1 week and was

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