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Keratoconus after penetrating keratoplasty
R S Rubinfeld1, E I Traboulsi, J J Arentsen
1Cornea Service, Willis Eye Hospital, Philadelphia, Pa.
Ophthalmic Surgery
|June 1, 1990
Summary
Keratoconus signs developed years after a corneal transplant. Screening donor corneas for ectatic diseases could prevent future cases.
Area of Science:
- Ophthalmology
- Corneal Surgery
- Ectatic Disorders
Background:
- Penetrating keratoplasty (PKP) is a common surgical procedure for corneal opacity.
- Post-keratoplasty ectasia is a rare but serious complication.
- Early detection and management of keratoconus are crucial for visual outcomes.
Observation:
- A 41-year-old woman developed clinical signs of keratoconus, including Munson's sign, apical thinning, and Vogt's striae.
- These signs manifested 6 years after a successful penetrating keratoplasty.
Findings:
- The development of keratoconus post-keratoplasty suggests a potential link or predisposition.
- The specific signs observed (Munson's sign, apical thinning, Vogt's striae) are characteristic of keratoconus progression.
Implications:
- Implementing rigorous screening of donor corneas for subclinical ectatic disorders may be necessary.
- This could help prevent the occurrence of post-keratoplasty keratoconus.
- Further research into risk factors and preventative strategies for post-keratoplasty ectasia is warranted.