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Br J Ophthalmol 2003;87:1053 doi:10.1136/bjo.87.8.1053
  • Letter

Recurrent infectious crystalline keratopathy caused by different organisms in two successive corneal grafts in the same patient

  1. O Touzeau,
  2. T Bourcier,
  3. V M Borderie,
  4. L Laroche
  1. Quinze-Vingts National Center of Ophthalmology, Paris, France
  1. Correspondence to: Tristan Bourcier, MD, PhD, Ophthalmology 5, Quinze-Vingts National Center of Ophthalmology, 28 rue de Charenton 75012 Paris, France; bourcier{at}quinze-vingts.fr
  • Accepted 2 February 2003

Infectious crystalline keratopathy (ICK) is a rare complication of penetrating keratoplasty characterised by an indolent infectious keratitis in which needle-like, branching crystalline opacities are seen within the corneal stroma, in the absence of appreciable corneal or anterior segment inflammation.1 We report an unusual case of recurrent ICK which occurred in two successive corneal grafts.

Case report

A 63 year old man underwent penetrating keratoplasty for aphakic bullous keratopathy. The immediate postoperative course was uneventful. Topical corticosteroid (dexamethasone 0.1%) was initially given four times daily, and then was tapered to twice daily. Seven months after transplantation, visual acuity decreased to counting fingers with no other symptoms. Slit lamp examination showed a focal area of non-suppurative branching intrastromal white opacities (Fig 1). Corneal scrapings for diagnostic smears and …

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