PMC6949657_01
Baseline anterior segment photographs. Both corneas are cloudy due to stromal deposits of glycosaminoglycans.
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fig1
Both corneas were opacified (Figure 1), with increased thickness (central corneal thickness of 741 microm and 779 microm) and intraocular pressure of 34 mmHg and 32 mmHg in the right and left eye, respectively (Goldmann applanation tonometry).
Anterior segment photographs after penetrating keratoplasty. There is central transparency of the graft with marked opacity of the peripheral host cornea.
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fig2
The trepanation diameter of the donor was 6.50 mm and the trepanation diameter of the recipient cornea was 6.00 mm. (Figure 2).
(a) Retinographies after penetrating keratoplasty. Multiple areas of orange patches are observed on retinography (arrows). (b) Infrared imaging of the fundus. (c) Enhanced depth imaging optical coherence tomography:the orange patches observed in the retinographies correspond to areas in which deposits of intermediate reflectivity can been seen at the scleral level (white arrows). These lesions are associated with marked choroidal thinning.
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fig3
Color fundus photography and enhanced depth imaging optical coherence tomography (EDI-OCT) (Figure 3) were performed. EDI-OCT imaging at the location of the orange patches (Figures 3(a) and 3(b)), revealed scleral thickening associated with choroidal thinning (Figure 3(c)).