Blast Wound Dehiscence During Descemet Membrane Endothelial Keratoplasty Rebubbling in a Previous Penetrating Keratoplasty: A Case Report.
Aged, 80 and over
Descemet Membrane
/ surgery
Descemet Stripping Endothelial Keratoplasty
/ adverse effects
Endothelium, Corneal
/ surgery
Female
Fuchs' Endothelial Dystrophy
/ surgery
Humans
Keratoplasty, Penetrating
/ adverse effects
Postoperative Complications
/ surgery
Retrospective Studies
Visual Acuity
Journal
Cornea
ISSN: 1536-4798
Titre abrégé: Cornea
Pays: United States
ID NLM: 8216186
Informations de publication
Date de publication:
01 Jul 2022
01 Jul 2022
Historique:
received:
03
05
2021
accepted:
14
06
2021
pubmed:
29
7
2021
medline:
29
6
2022
entrez:
28
7
2021
Statut:
ppublish
Résumé
The purpose of this study was to describe a rare complication of Descemet membrane endothelial keratoplasty (DMEK) rebubbling. An 86-year-old woman with bilateral penetrating keratoplasty (PK) performed 20 years previously for Fuchs endothelial dystrophy underwent DMEK surgery for endothelial corneal decompensation in the left eye. Surgery was complicated in the postoperative period by repeated DMEK graft detachments requiring rebubbling. The third rebubbling procedure caused a traumatic PK wound dehiscence at the graft-host junction with full-thickness opening of approximately 180 degrees. PK wound dehiscence was resutured in the theater, DMEK lenticule was removed from the eye, and the full-thickness graft was repeated. DMEK graft rebubbling in patients with previous PK may lead to traumatic wound dehiscence. Avoidance of excessive increases in intraocular pressure during the rebubbling procedure should be encouraged to decrease the risk of this rare complication.
Identifiants
pubmed: 34320596
doi: 10.1097/ICO.0000000000002838
pii: 00003226-202207000-00018
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
914-916Informations de copyright
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
The authors have no funding or conflicts of interest to disclose.
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