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