Deep sclerectomy after DSAEK: A cautionary tale.
ophthalmology
surgery
Journal
BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291
Informations de publication
Date de publication:
15 Jun 2021
15 Jun 2021
Historique:
entrez:
16
6
2021
pubmed:
17
6
2021
medline:
22
6
2021
Statut:
epublish
Résumé
A 78-year-old pseudophakic women with pseudoexfoliation glaucoma and 6-year history of prior Descemet's stripping automated endothelial keratoplasty (DSAEK) underwent deep sclerectomy for a poorly controlled glaucoma. Exposure of the trabeculo-Descemet's window (TDW), showed a very poor drainage. An attempt to dissect the fibrous tissue off the TDW resulted in perforation of the window needing peripheral iridectomy, followed by a white fibrous band which had to be excised to prevent blockade of the filtration channel. Postoperatively, there was complete detachment of the endothelial graft on day 1 with an intraocular pressure of 20 mm Hg. She was commenced on topical steroids and listed for a revisionary DSAEK in 6 weeks but when reviewed in a month postoperatively, a spontaneous reattachment of the endothelial graft was seen.
Identifiants
pubmed: 34130970
pii: 14/6/e237541
doi: 10.1136/bcr-2020-237541
pmc: PMC8208012
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
J Glaucoma. 2013 Oct-Nov;22(8):620-5
pubmed: 23685913
Am J Ophthalmol. 2010 Dec;150(6):790-7
pubmed: 20813345
Int Ophthalmol. 1996-1997;20(1-3):157-62
pubmed: 9112181
Medicine (Baltimore). 2015 Feb;94(6):e543
pubmed: 25674761
Eye (Lond). 2012 Jan;26(1):70-9
pubmed: 21979860
Ophthalmology. 2009 Sep;116(9):1644-50
pubmed: 19643499
Ophthalmology. 2009 Sep;116(9):1818-30
pubmed: 19643492