University of Iowa Health Care

Ophthalmology and Visual Sciences

EyeRounds.org

Khodadoust line

Contributors:  Jeffrey Welder, MD; Matthew Raecker, MD

Photographer: Brice Critser, CRA

A 24-year-old female presented with acute allograft rejection after self-discontinuing her topical steroid drops after penetrating keratoplasty for keratoconus.

The figure shows corneal decompensation with inferior corneal edema and haze and a faint horizontal endothelial linear opacitiy which is more distinct with sclerotic scatter lighting. This opacity is a rejection line consistent of white blood cells on the endothlium and is also known as a Khodadoust line. This sign represents graft rejection and if left untreated will march across the graft.

inferior corneal edema and haze and a faint horizontal endothelial linear opacitiy which is more distinct with sclerotic scatter lighting

corneal decompensation with inferior corneal edema and haze and a faint horizontal endothelial linear opacitiy

Slitlmap view of above


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Ophthalmic Atlas Images by EyeRounds.org, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.

last updated: 06/09/2015
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