دورية أكاديمية
أعرض في EDS

Rapid Corneal Calcification Following Endothelial Keratoplasty: A Case Report.

التفاصيل البيبلوغرافية
العنوان: Rapid Corneal Calcification Following Endothelial Keratoplasty: A Case Report.
المؤلفون: Fukuto A; Department of Ophthalmology and Visual Sciences, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, JPN., Shinji K; Department of Ophthalmology and Visual Sciences, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, JPN.; Department of Ophthalmology, Hiroshima Prefectural Hospital, Hiroshima, JPN., Deie S; Department of Ophthalmology and Visual Sciences, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, JPN., Chikama TI; Department of Ophthalmology and Visual Sciences, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, JPN.
المصدر: Cureus [Cureus] 2024 May 23; Vol. 16 (5), pp. e60956. Date of Electronic Publication: 2024 May 23 (Print Publication: 2024).
نوع المنشور: Case Reports; Journal Article
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: Corneal calcification typically progresses slowly but can occasionally advance rapidly. This report details severe stromal calcification following repeat Descemet's stripping automated endothelial keratoplasty (DSAEK) in a 75-year-old patient with diabetes, hypertension, and prior ocular surgeries, including cataract surgery, intraocular lens extraction with suturing, and trabeculectomy. Persistent epithelial defects after the surgery led to rapid central stromal calcification within four weeks, significantly reducing visual acuity. Management included switching from betamethasone sodium phosphate to fluorometholone, facilitating complete epithelial recovery within two months. However, persistent stromal opacity necessitated a subsequent penetrating keratoplasty. Infrared absorption spectrophotometry identified calcium phosphate as the primary component of the calcification. This case highlights the importance of vigilant monitoring and proactive management of epithelial defects to prevent rapid calcification following endothelial keratoplasty.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2024, Fukuto et al.)
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فهرسة مساهمة: Keywords: calcium phosphate; corneal calcification; corneal opacity; dsaek; persistent epithelial defect
تواريخ الأحداث: Date Created: 20240624 Latest Revision: 20240625
رمز التحديث: 20240625
مُعرف محوري في PubMed: PMC11193668
DOI: 10.7759/cureus.60956
PMID: 38910785
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.60956