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Sterile corneal necrosis after bowman layer transplantation
Ana Orive Bañuelos1, Alaitz Santamaría Carro1, Raquel Feijóo Lera1
1Department of Ophthalmology, BioCruces Bizkaia Health Research Institute, University Hospital of Cruces, Barakaldo, Spain.
European Journal of Ophthalmology
|March 22, 2023
Summary
Sterile corneal necrosis is a rare but severe complication following Bowman Layer Transplantation (BLT). This case report highlights a unique instance of this complication in a patient with advanced keratoconus.
Area of Science:
- Ophthalmology
- Corneal Surgery
Background:
- Bowman Layer Transplantation (BLT) is an effective technique for managing advanced keratoconus.
- Few complications have been associated with BLT, such as graft tears, buttonholes, thick grafts, or postoperative hydrops.
Observation:
- A 35-year-old female with Down syndrome and advanced keratoconus underwent BLT.
- The patient experienced eye rubbing and contact lens intolerance post-procedure.
Findings:
- Seventeen days after BLT, the patient developed sterile corneal necrosis.
- This represents a previously undescribed complication of BLT.
Implications:
- This case underscores the importance of careful patient selection and postoperative care in BLT.
- Further research may elucidate the mechanisms behind sterile corneal necrosis following BLT.
