Acute calcareous corneal degeneration in a patient with chronic graft-versus-host disease.

Marta Gema Solaz Ruiz, Lorena Azorín Pérez, Carlos Cauto Picazo, Laura Sánchez Sanz, Ana Hervás Ontiveros, Enrique España Gregori

Journal: Romanian journal of ophthalmology 2024;68(1):53-56

PMID: 38617729

Abstract

To describe acute calcareous corneal degeneration as a complication of chronic graft-versus-host disease. Clinical case and review of the literature. We presented a case of bilateral acute calcareous corneal degeneration in a patient with chronic graft-versus-host disease. Chronic graft-versus-host disease (cGVHD) occurs in 50-70% of bone marrow transplantation patients, the most frequent ocular complication being keratoconjunctivitis sicca (KCS). Calcareous corneal degeneration is a type of calcium deposition that can be secondary to chronic ocular inflammation or dry eye, but there are few cases reported of acute calcareous corneal degeneration and recurrent perforation in cGVHD. GVHD = Chronic graft-versus-host disease, aGVHD = Acute graft-versus-host disease, cGVHD = Chronic graft-versus-host disease, KCS = Keratoconjunctivitis sicca, PKP = Penetrating keratoplasty, AMT = Amniotic membrane transplantation, PRGF = Plasma rich in growth factors, OD = Right eye, OS = Left eye.

#x00A9; The Authors.Romanian Society of Ophthalmology.

Address: La Fe University and Polytechnic Hospital, Valencia, Spain.; Lluis Alcanyis Hospital, Valencia, Spain.
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