Wessely-type immune ring following phototherapeutic keratectomy

Immune rings following photorefractive keratectomy (PRK) have been reported but have not been described in detail. This case report describes an immune ring after phototherapeutic keratectomy (PTK) in a patient with long-standing superficial corneal scars. A dense white ring formed in the peripheral...

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Veröffentlicht in:Journal of cataract and refractive surgery 1996-01, Vol.22 (1), p.142-146
Hauptverfasser: Teichmann, Klaus D., Cameron, James, Huaman, Antonio, Rahi, Amjad H.S., Badr, Ihsan
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container_end_page 146
container_issue 1
container_start_page 142
container_title Journal of cataract and refractive surgery
container_volume 22
creator Teichmann, Klaus D.
Cameron, James
Huaman, Antonio
Rahi, Amjad H.S.
Badr, Ihsan
description Immune rings following photorefractive keratectomy (PRK) have been reported but have not been described in detail. This case report describes an immune ring after phototherapeutic keratectomy (PTK) in a patient with long-standing superficial corneal scars. A dense white ring formed in the peripheral cornea on the fourth day following surgery. The patient was treated with antibiotics until negative cultures were reported 48 hours later. A biopsy was taken and examined by light microscopy using hematoxylin-eosin and Mason's trichrome staining. The stroma showed focal keratocyte depopulation with nuclear fragments, occasional polymorphonuclear leucocytes, and an active fibroblastic reaction. No lymphocytes or plasma cells were seen. Clinically, the immune ring faded slowly and was still apparent 9 months after the PTK. Studies of similar cases are required to clarify the mechanisms responsible for this phenomenon.
doi_str_mv 10.1016/S0886-3350(96)80284-7
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This case report describes an immune ring after phototherapeutic keratectomy (PTK) in a patient with long-standing superficial corneal scars. A dense white ring formed in the peripheral cornea on the fourth day following surgery. The patient was treated with antibiotics until negative cultures were reported 48 hours later. A biopsy was taken and examined by light microscopy using hematoxylin-eosin and Mason's trichrome staining. The stroma showed focal keratocyte depopulation with nuclear fragments, occasional polymorphonuclear leucocytes, and an active fibroblastic reaction. No lymphocytes or plasma cells were seen. Clinically, the immune ring faded slowly and was still apparent 9 months after the PTK. 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subjects Adult
Arthus Reaction - immunology
Biological and medical sciences
Cataract Extraction
Cornea - immunology
Cornea - pathology
Corneal Opacity - immunology
Corneal Opacity - pathology
Corneal Stroma - immunology
Corneal Stroma - pathology
Humans
Keratoplasty, Penetrating
Lasers, Excimer
Male
Medical sciences
Photorefractive Keratectomy
Postoperative Complications - immunology
Postoperative Complications - pathology
Reoperation
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the eye and orbit
Wound Healing - physiology
title Wessely-type immune ring following phototherapeutic keratectomy
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