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Published in: BMC Ophthalmology 1/2011

Open Access 01-12-2011 | Case report

Transient peripheral edema following displaced corneal graft after descemet stripping automated endothelial keratoplasty (DSAEK): case presentation

Authors: George D Kymionis, Dimitra M Portaliou, Takeshi Ide, Sonia H Yoo

Published in: BMC Ophthalmology | Issue 1/2011

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Abstract

Background

Descemet's Stripping with Automated Endothelial Keratoplasty (DSAEK) is constantly gaining popularity in the management of endothelial dysfunctions such as bullous keratopathy or Fuchs' dystrophy.

Case Presentation

A 36 year - old man with Fuchs' dystrophy underwent combined phacoemulsification and DSAEK of the right eye. Immediately postoperatively, corneal graft displacement and peripheral corneal edema which remained stable during the first postoperative month were evident on slit lamp examination. Three months after the procedure the peripheral edema had completely resolved and the patients' subjective symptoms were improved.

Conclusions

The purpose of this case presentation is to demonstrate that corneal graft displacement after DSAEK can lead to peripheral corneal edema that can resolve without further intervention such as graft repositioning or replacement.
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Literature
1.
2.
go back to reference Melles GR, Eggink FA, Lander F, Pels E, Rietveld FJ, Beekhuis WH, Binder PS: A surgical technique for posterior lamellarkeratoplasty. Cornea. 1998, 17: 618-26. 10.1097/00003226-199811000-00010.CrossRefPubMed Melles GR, Eggink FA, Lander F, Pels E, Rietveld FJ, Beekhuis WH, Binder PS: A surgical technique for posterior lamellarkeratoplasty. Cornea. 1998, 17: 618-26. 10.1097/00003226-199811000-00010.CrossRefPubMed
3.
go back to reference Gorovoy MS: Descemet-stripping automated endothelial keratoplasty. Cornea. 2006, 25: 886-9. 10.1097/01.ico.0000214224.90743.01.CrossRefPubMed Gorovoy MS: Descemet-stripping automated endothelial keratoplasty. Cornea. 2006, 25: 886-9. 10.1097/01.ico.0000214224.90743.01.CrossRefPubMed
4.
go back to reference Ide T, Yoo SH, Kymionis GD, Goldman JM, Perez VL, O' Brien TP: Descemet stripping automated endothelial keratoplasty: effect of anterior lamellar corneal tissue-on/-off storage condition on Descemet-stripping automated endothelial keratoplasty donor tissue. Cornea. 2008, 27: 754-7. 10.1097/ICO.0b013e31816a6266.CrossRefPubMed Ide T, Yoo SH, Kymionis GD, Goldman JM, Perez VL, O' Brien TP: Descemet stripping automated endothelial keratoplasty: effect of anterior lamellar corneal tissue-on/-off storage condition on Descemet-stripping automated endothelial keratoplasty donor tissue. Cornea. 2008, 27: 754-7. 10.1097/ICO.0b013e31816a6266.CrossRefPubMed
5.
go back to reference Terry MA, Shamie N, Chen ES, Hoar KL, Friend DJ: Endothelial keratoplasty a simplified technique to minimize graft dislocation, iatrogenic graft failure, and pupillary block. Ophthalmology. 2008, 115: 1179-86. 10.1016/j.ophtha.2007.09.005.CrossRefPubMed Terry MA, Shamie N, Chen ES, Hoar KL, Friend DJ: Endothelial keratoplasty a simplified technique to minimize graft dislocation, iatrogenic graft failure, and pupillary block. Ophthalmology. 2008, 115: 1179-86. 10.1016/j.ophtha.2007.09.005.CrossRefPubMed
6.
go back to reference Suh LH, Yoo SH, Deobhakta A, Donaldson KE, Alfonso EC, Culbertson WW, O'Brien TP: Complications of Descemet's stripping with automated endothelial keratoplasty: survey of 118 eyes at One Institute. Ophthalmology. 2008, 115: 1517-24. 10.1016/j.ophtha.2008.01.024.CrossRefPubMed Suh LH, Yoo SH, Deobhakta A, Donaldson KE, Alfonso EC, Culbertson WW, O'Brien TP: Complications of Descemet's stripping with automated endothelial keratoplasty: survey of 118 eyes at One Institute. Ophthalmology. 2008, 115: 1517-24. 10.1016/j.ophtha.2008.01.024.CrossRefPubMed
7.
go back to reference Covert DJ, Koenig SB: New triple procedure: Descemet's stripping and automated endothelial keratoplasty combined with phacoemulsification and intraocular lens implantation. Ophthalmology. 2007, 114: 1272-7. 10.1016/j.ophtha.2006.12.030.CrossRefPubMed Covert DJ, Koenig SB: New triple procedure: Descemet's stripping and automated endothelial keratoplasty combined with phacoemulsification and intraocular lens implantation. Ophthalmology. 2007, 114: 1272-7. 10.1016/j.ophtha.2006.12.030.CrossRefPubMed
8.
go back to reference Smolin G, Thoft RA, eds: The Cornea: Scientific Foundations and Clinical Practice. 1994, Boston: Little, Brown, 3-6710. Book Chapter, 3 Smolin G, Thoft RA, eds: The Cornea: Scientific Foundations and Clinical Practice. 1994, Boston: Little, Brown, 3-6710. Book Chapter, 3
9.
go back to reference Balachandran C, Ham L, Verschoor CA, Ong TS, van der Wees J, Melles GR: Spontaneous corneal clearance despite graft detachment in descemet membrane endothelial keratoplasty. Am J Ophthalmol. 2009, 148 (2): 227-234. 10.1016/j.ajo.2009.02.033.CrossRefPubMed Balachandran C, Ham L, Verschoor CA, Ong TS, van der Wees J, Melles GR: Spontaneous corneal clearance despite graft detachment in descemet membrane endothelial keratoplasty. Am J Ophthalmol. 2009, 148 (2): 227-234. 10.1016/j.ajo.2009.02.033.CrossRefPubMed
10.
go back to reference Dirisamer M, Dapena I, Ham L, van Dijk K, Oganes O, Frank LE, van der Wees J, Melles GR: Patterns of corneal endothelialization and corneal clearance after descemet membrane endothelial keratoplasty for fuchs endothelial dystrophy. Am J Ophthalmol. 2011, 152 (4): 543-555. 10.1016/j.ajo.2011.03.031.CrossRefPubMed Dirisamer M, Dapena I, Ham L, van Dijk K, Oganes O, Frank LE, van der Wees J, Melles GR: Patterns of corneal endothelialization and corneal clearance after descemet membrane endothelial keratoplasty for fuchs endothelial dystrophy. Am J Ophthalmol. 2011, 152 (4): 543-555. 10.1016/j.ajo.2011.03.031.CrossRefPubMed
Metadata
Title
Transient peripheral edema following displaced corneal graft after descemet stripping automated endothelial keratoplasty (DSAEK): case presentation
Authors
George D Kymionis
Dimitra M Portaliou
Takeshi Ide
Sonia H Yoo
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Ophthalmology / Issue 1/2011
Electronic ISSN: 1471-2415
DOI
https://doi.org/10.1186/1471-2415-11-37

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