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Spontaneous reattachment of dislocated endothelial graft after non-Descemet stripping automated endothelial keratoplasty: a case report
- Source :
- BMC Ophthalmology, BMC Ophthalmology, Vol 18, Iss 1, Pp 1-4 (2018)
- Publication Year :
- 2018
- Publisher :
- BioMed Central, 2018.
-
Abstract
- Background Graft detachment is a complication of non-Descemet stripping automated endothelial keratoplasty (nDSAEK). We report a case of spontaneous reattachment of an extensively dislocated graft after nDSAEK. Case presentation A 54-year-old male underwent penetrating keratoplasty (PKP) for keratoconus in his left eye in 2001. Following graft opacity due to rejection, a second PKP was implemented in May 2014. The graft was kept in good condition after the reoperation and yet, visual acuity (VA) declined due to cataract. PEA+IOL was then performed in May 2015. Because edema appeared in the graft 6 months after the PEA+IOL, nDSAEK was carried out in May 2016. Although the donor graft well attached immediately after the nDSAEK, the graft was almost completely dislocated 3 h later except a temporal part. Air was reinjected into the anterior chamber on the following day and the detachment was resolved. Despite of the treatment, about 1/5 of the graft remained detached and the detachment deteriorated to 3/4 of the graft 9 days later. Because the patient could not decide whether to undergo another operation immediately, we decided to follow him up first and found that the partially detached graft reattached spontaneously 1 month later during the follow-up. Although the cornea had a mild edema remaining in the superior temporal area, his BCVA improved to 1.0. Three months later, the graft remained in position and the cornea kept its transparency. Conclusions Spontaneous reattachment was observed during the follow-up in a case that had shown a comparatively extensive graft dislocation after nDSAEK.
- Subjects :
- Male
Keratoconus
medicine.medical_specialty
Visual acuity
Anterior Chamber
Superior temporal area
Remission, Spontaneous
Visual Acuity
Case Report
Spontaneous reattachment
03 medical and health sciences
0302 clinical medicine
Postoperative Complications
lcsh:Ophthalmology
Donor graft
Cornea
Edema
medicine
Humans
Treatment Failure
Retrospective Studies
nDSAEK
business.industry
Graft Survival
General Medicine
Middle Aged
medicine.disease
Descemet stripping automated endothelial keratoplasty
eye diseases
Surgery
Ophthalmology
surgical procedures, operative
medicine.anatomical_structure
lcsh:RE1-994
Dislocated endothelial graft
030221 ophthalmology & optometry
medicine.symptom
Corneal edema
Complication
business
030217 neurology & neurosurgery
Descemet Stripping Endothelial Keratoplasty
Follow-Up Studies
Subjects
Details
- Language :
- English
- ISSN :
- 14712415
- Volume :
- 18
- Database :
- OpenAIRE
- Journal :
- BMC Ophthalmology
- Accession number :
- edsair.doi.dedup.....d87a1f235fc2e6b6bf1567fc35279863