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Stromal edema may develop discount carbidopa 110mg with mastercard medicine for pink eye, necessitating penetrating or endothelial keratoplasty in 20% to 25% of those affected 3. Patients undergoing penetrating or endothelial keratoplasty have good prognosis with no recurrence of disease in the graft 4. Hair dryer - cool setting applied tangentially to cornea may increase evaporation and temporarily improve vision iii. Penetrating keratoplasty (in the setting of visually significant coexistent corneal steepening), with cataract extraction as indicated (See Penetrating keratoplasty) b. In presence of cataract, assess likelihood of corneal decompensation with pachymetry and endothelial cell count prior to cataract surgery 2. Complications of penetrating or endothelial keratoplasty (See Penetrating keratoplasty) (See Endothelial keratoplasty) B. Prevention and management (See Anterior stromal puncture) (See Penetrating keratoplasty) (See Endothelial keratoplasty) 1. Prophylactic topical antibiotics while treating with bandage contact lenses or stromal puncture 2. Epithelial breakdown resulting in secondary stromal scarring and risk of infectious corneal ulcer E. Education of disease process, implications of penetrating keratoplasty and endothelial keratoplasty B. Awareness of symptoms that may represent worsening of disease Additional Resources 1. Classification of posterior polymorphous corneal dystrophy as a corneal ectatic disorder following confirmation of associated significant corneal steepening. Inflammation has been proposed as a possible contributing factor in some individuals B. Prevalence estimated to be 1 per 2,000, but 1 to 5% of patients screened for refractive surgery are excluded due to possible keratoconus 4. Other family members may have known keratoconus or subclinical (forme fruste) keratoconus C.

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