{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T21:21:49Z","timestamp":1770326509483,"version":"3.49.0"},"reference-count":13,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,5,30]]},"abstract":"<jats:p>A 68-year-old woman presented with infectious crystalline keratopathy 4\u2009months after she underwent a combined phacoemulsification and Descemet\u2019s stripping endothelial keratoplasty for Fuch\u2019s endothelial dystrophy in her left eye. After 5\u2009months of topical moxifloxacin 1%, the infiltrate responded well but had not completely resolved, with the resulting endothelial failure requiring a penetrating keratoplasty 9\u2009months after the initial operation. Microbiology identified<jats:italic>Enterococcus faecalis<\/jats:italic>with the histopathology demonstrating bacterial colonies within the graft interface. Postoperatively she developed endophthalmitis, needing vitrectomy and intravitreal antibiotics. The infection settled with no recurrence, with topical and oral antibiotics continued for 2\u2009months. A sutured toric piggyback intraocular lens was performed 18\u2009months postvitrectomy for graft astigmatism, achieving a best-corrected vision of 6\/15.<\/jats:p><jats:p>Infectious crystalline keratopathy can occur following Descemet\u2019s stripping endothelial keratoplasty, requiring long-term topical therapy and potentially leading to graft failure with the necessity for further keratoplasty.<\/jats:p>","DOI":"10.1136\/bcr-2017-220464","type":"journal-article","created":{"date-parts":[[2017,6,15]],"date-time":"2017-06-15T06:10:24Z","timestamp":1497507024000},"page":"bcr-2017-220464","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Infectious crystalline keratopathy after Descemet\u00e2\u20ac\u2122s stripping endothelial keratoplasty"],"prefix":"10.1136","volume":"2017","author":[{"given":"Ashley 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