The case of extreme corneal flattening after initially uneventful Descemet stripping endothelial keratoplasty
Abstract
A clinical case of emergency corneal flattening performed without complications after endothelial keratoplasty with Descemet>s membrane removal (Descemet Stripping Endothelial Keratoplasty - DSEK) in a man, 76 years old, with secondary endothelial dystrophy and bullous keratopathy. Early postoperative period was uneventful with complete snuggling transplant, but two weeks later revealed flattening of the central part of the cornea and multiple folds completely accumbens transplant. For the first time described the «acute» applanation of the cornea, it is apparently another rare complication DSEK, which can develop without any obvious cause and concomitant ocular pathology.
About the Authors
E. .. Fernândez-Lâpez
Netherlands Institute for Innovative Ocular Surgery
Russian Federation
Russian Federation
A. .. Miron
Netherlands Institute for Innovative Ocular Surgery
Russian Federation
Russian Federation
A. A. Grdikanyan
Moscow Helmholtz Research Institute of Eye Diseases
Russian Federation
Russian Federation
S. S. Pogorelova
Moscow Helmholtz Research Institute of Eye Diseases
Russian Federation
Russian Federation
L. .. Baydoun
Netherlands Institute for Innovative Ocular Surgery
Russian Federation
Russian Federation
O. G. Oganesyan
Moscow Helmholtz Research Institute of Eye Diseases
Russian Federation
Russian Federation
G. R. Melles
Netherlands Institute for Innovative Ocular Surgery
Russian Federation
Russian Federation
References
1. Balachandran C., Ham L., Birbal R.S. [et al.] A simple technique for graft insertion in Descemet stripping (automated) endothelial keratoplasty, using a 30G needle // J. Cataract. Refract. Surg. 2009. Vol. 35. P. 625-628.
2. Dirisamer M., Parker J., Naveiras M. [et al.] Identifying causes for poor visual outcome after DSEK/DSAEK following secondary DMEK in the same eye // Acta Ophthalmol. 2013. Vol. 91. P. 131-139.
3. Hjortdal J., Ivarsen A., Heegaard S. Fibrocellular contraction of a lamellar posterior corneal graft// Case Rep. Ophthalmol. 2011. Vol. 2. P. 179-184.
4. Melles G.R.J., Eggink F.A., Lander F. [et al.] A surgical technique for posterior lamellar keratoplasty // Cornea. 1998. Vol. 17. P. 618-626.
5. Melles G.R.J., Lander F., Nieuwendaal C. Sutureless, posterior lamellar keratoplasty // Cornea. 2002. Vol. 21. P. 325-327.
6. Melles G.R.J., Lander F., van Dooren B.T. [et al.] Preliminary clinical results of posterior lamellar keratoplasty through a sclerocorneal pocket incision // Ophthalmology. 2000. Vol. 107. P. 1850-1856.
7. Melles G.R., Wijdh R.H., Nieuwendaal C.P A technique to excise the Descemet membrane from a recipient cornea (descemetorhexis) // Cornea. 2004. Vol. 23. P. 286-288.
8. Moutsouris K., Ham L., Dapena I. [et al.] Radial graft contraction may relate to subnormal visual acuity in Descemet stripping (automated) endothelial keratoplasty // Br. J. Ophthalmol. 2010. Vol. 94. P. 951-953.
9. Price F.W. Jr, Price M.O. Descemet’s stripping with endothelial keratoplasty in 200 eyes: a refractive neutral corneal transplant // J. Refract. Surg. 2006. Vol. 32. P. 411-418.
10. Seery L.S., Nau C.B., McLaren J.W. [et al.] Graft thickness, graft folds, and aberrations after Descemet stripping endothelial keratoplasty for Fuchs dystrophy // Am. J. Ophthalmol. 2011. Vol. 152. P 910-916.
11. Zhang Q., Randleman J.B., Stulting R.D. [et al.] Clinicopathologic findings in failed Descemet stripping automated endothelial keratoplasty // Arch. Ophthalmol. 2010. Vol. 128. P 973-980.
Review
For citations:
Fernândez-Lâpez E..., Miron A..., Grdikanyan A.A., Pogorelova S.S., Baydoun L..., Oganesyan O.G., Melles G.R. The case of extreme corneal flattening after initially uneventful Descemet stripping endothelial keratoplasty. Pacific Medical Journal. 2015;(3):97-98. (In Russ.)
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