Document Detail

Corneal graft detachment without corneal edema after descemet stripping automated endothelial keratoplasty.
MedLine Citation:
PMID:  20164759     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To report the case of a patient who underwent Descemet stripping automated endothelial keratoplasty complicated by corneal graft detachment without corneal edema.
METHODS: Case report.
RESULTS: A 60-year-old man with bilateral decompensated endothelium 10 years after cataract extraction and anterior chamber intraocular lens implantation underwent combined anterior chamber intraocular lens explantation with iris-sutured posterior chamber intraocular lens implantation and Descemet stripping automated endothelial keratoplasty on the right eye. On the second postoperative day, the corneal graft was attached. Two weeks postoperatively, slit lamp examination revealed a double anterior chamber resulting from corneal graft detachment. The corneal graft was reattached by repositioning and injecting air. One week later, the corneal graft had detached again, creating a double anterior chamber. No corneal edema was present. Nine months postoperatively, the cornea remained clear, although a double anterior chamber was still evident as a result of the detached corneal graft.
CONCLUSION: Despite post-Descemet stripping automated endothelial keratoplasty corneal graft detachment, the cornea remained without edema.
Panayotis Zafirakis; George D Kymionis; Michael A Grentzelos; Gerasimos Livir-Rallatos
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cornea     Volume:  29     ISSN:  1536-4798     ISO Abbreviation:  Cornea     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-10-27     Completed Date:  2011-01-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8216186     Medline TA:  Cornea     Country:  United States    
Other Details:
Languages:  eng     Pagination:  456-8     Citation Subset:  IM    
Hellenic Ophthalmosurgical, Athens, Greece.
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MeSH Terms
Anterior Chamber / pathology*
Cataract Extraction
Cornea / pathology*
Corneal Edema / diagnosis,  etiology*
Descemet Stripping Endothelial Keratoplasty*
Lens Implantation, Intraocular
Middle Aged
Postoperative Complications*
Rupture, Spontaneous / diagnosis,  etiology
Tomography, Optical Coherence

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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