Bredow L, Reinhard T, Auw-Hädrich C
Universitäts-Augenklinik Freiburg, Killianstr. 5, Freiburg, Deutschland.
Ophthalmologe. 2010 Nov;107(11):1068-71. doi: 10.1007/s00347-010-2207-7.
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).