PMC5138087_01
PMC5138087_02
Case 6: A, preoperative slit-lamp photograph from a 37-year-old woman with aniridia demonstrating epithelial irregularity. B, a stable ocular surface at 2.5 years after keratolimbal allograft while on tacrolimus and mycophenolate mofetil. C, acute graft rejection 5.5 years after surgery evidenced by epithelial rejection line (white arrow). The patient had not received systemic immunosuppression for 2 years and had self-discontinued topical steroids one month prior to presentation. D, use of fluorescein staining to further highlight these findings.
nihms797577f2.jpg
PMC5138087_02_nihms797577f2.jpg
F2
A 37-year-old woman with a history of aniridic keratopathy, progressive LSCD, and glaucoma s/p cataract extraction with intraocular lens implantation presented with a BCVA of counting fingers at 10 feet and underwent bilateral KLAL separated by 10 months (Figure 2).