Corneal graft detachment without corneal edema after descemet stripping automated endothelial keratoplasty. 2010

Panayotis Zafirakis, and George D Kymionis, and Michael A Grentzelos, and Gerasimos Livir-Rallatos
Hellenic Ophthalmosurgical, Athens, Greece.

OBJECTIVE 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. CONCLUSIONS Despite post-Descemet stripping automated endothelial keratoplasty corneal graft detachment, the cornea remained without edema.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D002387 Cataract Extraction The removal of a cataractous CRYSTALLINE LENS from the eye. Enzymatic Zonulolysis,Phakectomy,Cataract Extractions,Enzymatic Zonulolyses,Extraction, Cataract,Extractions, Cataract,Phakectomies,Zonulolyses, Enzymatic,Zonulolysis, Enzymatic
D003315 Cornea The transparent anterior portion of the fibrous coat of the eye consisting of five layers: stratified squamous CORNEAL EPITHELIUM; BOWMAN MEMBRANE; CORNEAL STROMA; DESCEMET MEMBRANE; and mesenchymal CORNEAL ENDOTHELIUM. It serves as the first refracting medium of the eye. It is structurally continuous with the SCLERA, avascular, receiving its nourishment by permeation through spaces between the lamellae, and is innervated by the ophthalmic division of the TRIGEMINAL NERVE via the ciliary nerves and those of the surrounding conjunctiva which together form plexuses. (Cline et al., Dictionary of Visual Science, 4th ed) Corneas
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000867 Anterior Chamber The space in the eye, filled with aqueous humor, bounded anteriorly by the cornea and a small portion of the sclera and posteriorly by a small portion of the ciliary body, the iris, and that part of the crystalline lens which presents through the pupil. (Cline et al., Dictionary of Visual Science, 4th ed, p109) Anterior Chambers,Chamber, Anterior,Chambers, Anterior
D012422 Rupture, Spontaneous Tear or break of an organ, vessel or other soft part of the body, occurring in the absence of external force. Ruptures, Spontaneous,Spontaneous Rupture,Spontaneous Ruptures
D015715 Corneal Edema An excessive amount of fluid in the cornea due to damage of the epithelium or endothelium causing decreased visual acuity. Corneal Edemas,Edema, Corneal,Edemas, Corneal
D057111 Descemet Stripping Endothelial Keratoplasty A surgical procedure or KERATOPLASTY involving selective stripping and replacement of diseased host DESCEMET MEMBRANE and CORNEAL ENDOTHELIUM with a suitable and healthy donor posterior lamella. The advantage to this procedure is that the normal corneal surface of the recipient is retained, thereby avoiding corneal surface incisions and sutures.

Related Publications

Panayotis Zafirakis, and George D Kymionis, and Michael A Grentzelos, and Gerasimos Livir-Rallatos
February 2015, JAMA ophthalmology,
Panayotis Zafirakis, and George D Kymionis, and Michael A Grentzelos, and Gerasimos Livir-Rallatos
January 2008, Journal of cataract and refractive surgery,
Panayotis Zafirakis, and George D Kymionis, and Michael A Grentzelos, and Gerasimos Livir-Rallatos
March 2017, Cornea,
Panayotis Zafirakis, and George D Kymionis, and Michael A Grentzelos, and Gerasimos Livir-Rallatos
January 2011, European journal of ophthalmology,
Panayotis Zafirakis, and George D Kymionis, and Michael A Grentzelos, and Gerasimos Livir-Rallatos
December 2011, BMC ophthalmology,
Panayotis Zafirakis, and George D Kymionis, and Michael A Grentzelos, and Gerasimos Livir-Rallatos
January 2010, Cornea,
Panayotis Zafirakis, and George D Kymionis, and Michael A Grentzelos, and Gerasimos Livir-Rallatos
September 2011, Cornea,
Panayotis Zafirakis, and George D Kymionis, and Michael A Grentzelos, and Gerasimos Livir-Rallatos
June 2015, American journal of ophthalmology,
Panayotis Zafirakis, and George D Kymionis, and Michael A Grentzelos, and Gerasimos Livir-Rallatos
January 2019, Clinical ophthalmology (Auckland, N.Z.),
Panayotis Zafirakis, and George D Kymionis, and Michael A Grentzelos, and Gerasimos Livir-Rallatos
June 2022, Canadian journal of ophthalmology. Journal canadien d'ophtalmologie,
Copied contents to your clipboard!