The Ophthalmology Unit, Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
The Ophthalmology Department, SarawakGeneralHospital,
Kuching, Sarawak, East Malaysia.
a
a
Primary corneal
graft failure
Photo by Professor Chua
and Dr. Ngo
This 75 year-old woman
had poor right vision due to corneal injury sustained in her teen. A
corneal graft was performed using donor cornea from Sri Lanka. At the
time of surgery, the donor cornea exhibited corneal oedema.
Post-operatively, the corneal graft was clear for only 48 hours. The
central opacity increased rapidly and became totally opaque within 10
days. A repeated corneal graft (also from donor in Sri Lanka) was
performed 2 weeks later. The second corneal graft remained clear at 7
weeks post-operative. Histology of the first corneal graft showed poor
endothelium count.
Right corneal scarring with
localized oedema.
Corneal graft opacity at 5 days
post-grafting.
Complete corneal graft
opacification at 10 days post-graft.
