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Archivos de la Sociedad Española de Oftalmología

Print version ISSN 0365-6691


SANCHEZ FERREIRO, A.V.; LOPEZ CRIADO, A.  and  MUNOZ BELLIDO, L.. Crystalline keratopathy in pterigium treatment: Case report. Arch Soc Esp Oftalmol [online]. 2012, vol.87, n.6, pp.179-181. ISSN 0365-6691.

Case report: A 65 year-old female who consulted due to the emergence of a white spot in the eye that had grown over the last year. The physical examination showed an intrastromal white crystal-like infiltrate and a tree-like morphology, with minimal inflammatory response. It was treated topically with no clear improvement, requiring a penetrating keratoplasty. Discussion: A crystalline keratopathy is a rare event and characteristic of, but not exclusively, to a Streptococcus viridans infectious keratitis. It has been associated with prolonged use of topical steroids after penetrating keratoplasty and usually has a poor response to treatment.

Keywords : White intrastromal infiltrate; Tree-like crystal morphology; Streptococcus viridans.

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