Persistent corneal opacity after descemet stripping automated endothelial keratoplasty suggesting inert material deposits into the interface.

Details

Serval ID
serval:BIB_56CF8EDD6180
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Persistent corneal opacity after descemet stripping automated endothelial keratoplasty suggesting inert material deposits into the interface.
Journal
Cornea
Author(s)
Chhadva P., Cabot F., Ziebarth N., Kymionis G.D., Yoo S.H.
ISSN
1536-4798 (Electronic)
ISSN-L
0277-3740
Publication state
Published
Issued date
11/2013
Peer-reviewed
Oui
Volume
32
Number
11
Pages
1512-1513
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Abstract
To report a case of interface deposits after Descemet stripping automated endothelial keratoplasty (DSAEK) imaged by means of an electron microscope.
An 88-year-old man was referred with a history of corneal edema resulting from pseudophakic bullous keratopathy. A DSAEK was performed on his left eye without complications; however, the follow-up examination revealed a well-attached graft with persistent interface opacities at the donor-recipient interface. The DSAEK was repeated in this eye 1 year after the first surgery because of these corneal opacities that interfered with his vision.
In the immediate postoperative period, the patient had adequate visual acuity with intact graft placement and a clear interface. Pathology and electron microscope analysis were performed on the removed endothelial graft, which revealed diffuse particles on the stromal surface of the endothelial graft.
A repeated DSAEK procedure sufficiently removed this patient's corneal opacities and improved the visual acuity. The opacity is believed to have occurred because of residual viscoelastic material, which was used to maintain anterior chamber volume during surgery. This solution must be thoroughly removed to avoid similar complications.
Keywords
Aged, 80 and over, Corneal Opacity/etiology, Descemet Stripping Endothelial Keratoplasty/adverse effects, Humans, Male, Reoperation, Treatment Outcome, Viscoelastic Substances/analysis
Pubmed
Web of science
Create date
01/10/2019 12:57
Last modification date
06/10/2019 5:26
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