PMC4748760_01
a-c Slit-lamp photographs on POD 5 (1 day after flap lift and irrigation). a Right eye with improving peripheral keratolysis. b High magnification of peripheral keratolysis in the left eye. c Left eye with persistent peripheral keratolysis. d, e Photographs at postoperative month 6, showing resolved keratitis with mild peripheral stromal scarring in the right eye (d) and left eye (e).
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F1
The tissue was friable (fig. 1a-c), and no epithelial ingrowth was found. Six months after surgery, UCVA was 20/70 in the right eye (refracting to 20/20 with -2.50 + 1.50 x 150) and 20/20 in the left eye (fig. 1d, e).
Electron microscopy of the renal biopsy showing subepithelial membranous deposits (arrow) and adjacent foot process effacement (description courtesy of John Higgins, MD, and Christina Kong, MD, Department of Pathology, Stanford University School of Medicine, Stanford, Calif., USA).
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F2
The consulting pathologist described an immune complex-mediated process, characterized by electron dense deposits in the subepithelial glomerular basement membrane with mild foot process effacement (fig. 2).