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Failure is Not an Option

When a corneal graft is compromised, you need to take swift action to save this vulnerable tissue from total loss.

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Posted with permission. Originally published on Review Of Optometry,January 15, 2020.

A 45-year-old Hispanic male presented to clinic with a chief complaint of progressive blurry vision that started approximately four days earlier in his right eye. Accompanying symptoms included light sensitivity and ocular irritation. The patient denied any ocular discharge, ocular trauma or recent illness.

The patient’s ocular history was remarkable for penetrating keratoplasty (PK), which was performed 25 to 30 years ago in both eyes. At this visit, the patient denied using a topical steroid for maintenance therapy. His best-corrected visual acuity (BCVA) was 20/70 OD, 20/50 OS. His anterior segment findings are provided (Figure 1). We observed no palpable preauricular node (PAN) at that visit. The rest of the exam was unremarkable. 

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