Management and prevention of corneal graft rejection.

Indian J Ophthalmol

Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

Published: September 2023

AI Article Synopsis

  • The main treatment for corneal graft rejection (CGR) is corticosteroids, while immunomodulators help with long-term management, especially in high-risk graft cases.
  • Classical symptoms of CGR post-penetrating keratoplasty include rejection line, anterior chamber reaction, and graft edema, but these signs may be less obvious in endothelial keratoplasty.
  • Preventing graft rejection is crucial as it minimizes the need for donor corneas, and this article reviews the clinical aspects and management strategies for CGR.

Article Abstract

The management of an episode of corneal graft rejection (CGR) is primarily by corticosteroids. Immunomodulators are useful for long-term immunosuppression and in dealing with cases of high-risk (HR) corneal grafts. The classical signs of CGR following penetrating keratoplasty (PKP) include rejection line, anterior chamber (AC) reaction, and graft edema. However, these signs may be absent or subtle in cases of endothelial keratoplasty (EK). Prevention of an episode of graft rejection is of utmost importance as it can reduce the need for donor cornea significantly. In our previous article (IJO_2866_22), we had discussed about the immunopathogenesis of CGR. In this review article, we aim to discuss the various clinical aspects and management of CGR.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10565940PMC
http://dx.doi.org/10.4103/IJO.IJO_228_23DOI Listing

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