Two cases of snowflake-like keratitis

Universitäts-Augenklinik Freiburg, Killianstr. 5, Freiburg, Deutschland.
Der Ophthalmologe (Impact Factor: 0.5). 11/2010; 107(11):1068-71. DOI: 10.1007/s00347-010-2207-7
Source: PubMed


Patient 1 developed snowflake-like keratitis without inflammatory response in a decompensated corneal allograft. Patient 2, who had a history of repeated corneal grafting, also developed corneal opacification which initially appeared thread-like but quickly expanded. In both patients regrafting was necessary. Histological examination of the excised corneas demonstrated dense populations of Gram-positive bacteria in the interlamellar spaces. A surrounding inflammatory reaction was lacking, which is typical for infectious crystalline keratopathy (ICK).

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