Presumed Corneal Stromal Graft Rejection After Deep Anterior Lamellar Keratoplasty in a Patient with Systemic Lupus Erythematosis

Abstract

PURPOSE: To report a case of presumed corneal stromal graft rejection after deep anterior lamellar keratoplasty in a patient with systemic lupus erythematosis (SLE). METHODS: Deep anterior lamellar keratoplasty was performed using the "bug bubble" technique in the left eye of a 14-year-old patient with keratoconus. Her medical records revealed a history of SLE that was in remission. Immediate postoperative course was uneventful. A best-corrected visual acuity (BCVA) of 20/40 was achieved at the end of 6 months. She was advised to taper off and stop topical corticosteroids by the end of 9 months. The patient presented with a red eye and reduced vision 11 months after surgery. At the time of p..