Artículos de revistas
Corneal Transplant Rejection [rejeição De Transplante De Córnea]
Registro en:
Revista Brasileira De Oftalmologia. , v. 67, n. 5, p. 255 - 263, 2008.
347280
2-s2.0-77951881675
Autor
Costa D.C.
Kara-Jose N.
Institución
Resumen
Corneal transplant rejection is an immunological cellular process that attacks the donor cornea and may cause its failure. It is the most common cause of corneal transplant failure. The most common factors for rejection are corneal neovascularization, previous graft failure, anterior synechiae, large or descentered graft, intraocular inflammation and previous anterior segment surgeries. It commonly presents with hyperemia, ocular pain, corneal edema, and anterior chamber inflammation. Corneal graft rejection can be classified as epithelial rejection, subepithelial rejection, stromal rejection, endothelial rejection, combined stromal and endothelial rejection, and rejection in a repeat graft. Prevention of immunemediated graft rejection can be achieved through meticulous surgical technique, lamellar surgery, enhanced compatibility between donor tissue and receptor cornea, and pharmacologic strategies. 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