Keratoconus with two consecutive re-emergences: a case report

Keratoconus with two consecutive re-emergences: a case report

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Abstract Background Keratoconus is a common disease in clinical practice, and deep anterior lamellar keratoplasty(DALK) is a conventional treatment for keratoconus, which is effective and not easy to recur after surgery.Case Fridge Crisper Shelf Attachment presentation The author presents a rare case report involving a 21-year-old patient with Consecutive re-emergences of Keratoconus.He underwent DALK for keratoconus in his left eye in 2012 and experienced re-emergence 3 years later, followed by a second deep lamellar keratoplasty in the same year.In 2019, the patient experienced re-emergence of keratoconus and underwent a third deep lamellar keratoplasty in the same eye.

Genetic testing was performed, and no abnormal genes were identified.Postoperative follow-up emphasized the management of chronic allergic conjunctivitis (CAC) and the correction of eye-rubbing habits.To date, he has not experienced any further re-emergence.Conclusions Keratoconus is a complex disorder with a multifaceted etiology and pathogenesis, including genetic, environmental, biomechanical, and cellular factors.

Its treatment usually Protection requires multiple considerations, including the choice of surgical methods, anti-inflammatory therapy, and correction of eye rubbing habits to guide patients for subsequent treatment interventions.