Diagnosis of epithelial ingrowth after penetrating keratoplasty with confocal microscopy

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dc.contributor.author Forseto, Adriana dos Santos
dc.contributor.author Santos, Myrna Serapiao dos
dc.contributor.author Sampaio, Angelica
dc.contributor.author Mascaro, Vera
dc.contributor.author Nose, Walton
dc.date.accessioned 2016-01-24T12:41:31Z
dc.date.available 2016-01-24T12:41:31Z
dc.date.issued 2006-10-01
dc.identifier http://dx.doi.org/10.1097/01.ico.0000228787.92205.3b
dc.identifier.citation Cornea. Philadelphia: Lippincott Williams & Wilkins, v. 25, n. 9, p. 1124-1127, 2006.
dc.identifier.issn 0277-3740
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/29196
dc.description.abstract Purpose: To report confocal microscopy use in the clinical diagnosis of epithelial ingrowth after penetrating keratoplasty (PKP).Methods: A 36-year-old female patient with keratoconus developed a well-delimited posterior hazy membrane covering the inferior two thirds of the cornea 3 months after an uneventful PKP. A posterior corneal line was present resembling an endothelial graft rejection line, but with no keratic precipitates or corneal edema. Ocular hypertension was not observed, Confocal microscopy was performed to elucidate the diagnosis.Results: Confocal microscopy showed epithelium and stroma with normal findings. Two distinct cellular types were presented at the endothelium layer. Enlarged endothelial cells were observed in the superior part of the cornea up to the leading edge of the hazy membrane. in the middle and inferior part of the graft, the cells were larger, with polygonal shape and easily recognizable hyperreflective nuclei, suggestive of epithelial cells. With these confocal microscopy findings, the patient was promptly submitted to another PKP. Histologic analysis confirmed the diagnosis of epithelial ingrowth.Conclusion: Confocal microscopy imaging technique seems to be a useful tool in the early diagnosis of epithelial ingrowth after PKP. en
dc.format.extent 1124-1127
dc.language.iso eng
dc.publisher Lippincott Williams & Wilkins
dc.relation.ispartof Cornea
dc.rights Acesso restrito
dc.subject confocal microscopy en
dc.subject epithelial ingrowth en
dc.subject keratoplasty en
dc.subject complications en
dc.title Diagnosis of epithelial ingrowth after penetrating keratoplasty with confocal microscopy en
dc.type Artigo
dc.contributor.institution Eye Clin Day Hosp
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.contributor.institution Hosp Servidor Publ Estadual
dc.description.affiliation Eye Clin Day Hosp, São Paulo, Brazil
dc.description.affiliation Universidade Federal de São Paulo, São Paulo, Brazil
dc.description.affiliation Hosp Servidor Publ Estadual, São Paulo, Brazil
dc.description.affiliationUnifesp Universidade Federal de São Paulo, São Paulo, Brazil
dc.identifier.doi 10.1097/01.ico.0000228787.92205.3b
dc.description.source Web of Science
dc.identifier.wos WOS:000242701400029


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