Spontaneous corneal clearance after graft detachment in DMEK.

Aclaramiento corneal espontáneo DMEK Desprendimiento del injerto Graft detachment Spontaneous corneal clearance

Journal

Archivos de la Sociedad Espanola de Oftalmologia
ISSN: 2173-5794
Titre abrégé: Arch Soc Esp Oftalmol (Engl Ed)
Pays: Spain
ID NLM: 101715860

Informations de publication

Date de publication:
Mar 2023
Historique:
received: 23 07 2022
accepted: 04 11 2022
pubmed: 5 2 2023
medline: 8 3 2023
entrez: 4 2 2023
Statut: ppublish

Résumé

Descemet Membrane detachment is a potential complication after Descemet Membrane Endothelial Keratoplasty (DMEK). Here, we present a unique case of a DMEK surgery in a complicated eye that suffered a nearly complete DMEK graft detachment and later a graft opacification with a pseudo-anterior chamber. In Mid-November 2020, a planned DMEK was performed in a 64-year-old male patient due to corneal decompensation. Four months after DMEK, a fibrotic DMEK graft was seen across the anterior chamber with a pseudo-anterior chamber; however, the recipient cornea showed complete clearance with an endothelial cell count of about 1204 cells/mm2 and a best-corrected visual acuity of 20/25. Three months later, we observed a significant opacification of the detached graft, and the best-corrected distance visual acuity decreased to 20/63. We proceeded with the graft removal without performing a second DMEK. Ten months after graft removal, the cornea remained clear with an endothelial cell count of about 510 cells/mm

Identifiants

pubmed: 36738920
pii: S2173-5794(23)00010-5
doi: 10.1016/j.oftale.2022.11.006
pii:
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

170-174

Informations de copyright

Copyright © 2022 Sociedad Española de Oftalmología. Published by Elsevier España, S.L.U. All rights reserved.

Auteurs

L Fernández-Vega-Cueto (L)

Instituto Oftalmológico Fernández-Vega, Oviedo, Asturias, Spain. Electronic address: lfvc@fernandez-vega.com.

C Lisa (C)

Instituto Oftalmológico Fernández-Vega, Oviedo, Asturias, Spain.

K Vasanthananthan (K)

Netherlands Institute for Innovative Ocular Surgery, Rotterdam, The Netherlands.

D Madrid-Costa (D)

Instituto Oftalmológico Fernández-Vega, Oviedo, Asturias, Spain.

J F Alfonso (JF)

Instituto Oftalmológico Fernández-Vega, Oviedo, Asturias, Spain.

G R J Melles (GRJ)

Netherlands Institute for Innovative Ocular Surgery, Rotterdam, The Netherlands.

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Classifications MeSH