Wahid Wajih A S, Selvaraja V, Bakiah S, Ibrahim M
Department of Ophthalmology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kelantan, Malaysia.
Cornea. 2008 Aug;27(7):837-9. doi: 10.1097/ICO.0b013e318169d6cc.
To describe recurrent peripheral ulcerative keratitis (PUK) on the corneoscleral graft in a young man treated successfully with oral corticosteroids.
Interventional case report.
A 21-year-old Malay man with no previous known medical illnesses presented with a sudden onset of peripheral corneal perforation. It was temporarily sealed with a multilayer amniotic membrane followed by patching with a corneoscleral button. One month later, a recurrence of PUK on the donor button was noted. It was successfully treated with oral corticosteroids.
PUK without systemic manifestation may recur in the donor corneoscleral graft. Prompt intensive treatment with oral corticosteroids results in a favorable outcome.
