Surgical management of spontaneous, late-onset Descemet membrane detachment after penetrating keratoplasty for keratoconus: a case report.

Details

Serval ID
serval:BIB_A41FE5327E17
Type
Article: article from journal or magazin.
Collection
Publications
Title
Surgical management of spontaneous, late-onset Descemet membrane detachment after penetrating keratoplasty for keratoconus: a case report.
Journal
Eye and vision
Author(s)
Petrelli M., Oikonomakis K., Andreanos K., Mouchtouris A., Georgalas I., Kymionis G.
ISSN
2326-0254 (Print)
ISSN-L
2326-0254
Publication state
Published
Issued date
2017
Peer-reviewed
Oui
Volume
4
Pages
14
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
To report a surgical method for treating corneal oedema in a case of late-onset Descemet membrane detachment after penetrating keratoplasty.
A 55-year old patient presented with sudden visual loss in his left eye 28 years after penetrating keratoplasty for keratoconus. Slit-lamp biomicroscopy revealed a distortion of the corneal graft anatomy with protrusion of the graft and peripheral thinning and steepening in the residual host tissue, accompanied by corneal graft oedema. Anterior segment optical coherence tomography revealed detachment of Descemet membrane localized to the area of the graft oedema. We proceeded with a full-thickness, partially circumferential incision in the graft-host junction, followed by repositioning and re-suturing of the graft in place, and intracameral air injection in order to achieve reattachment of Descemet membrane.
Corneal graft repositioning in combination with re-bubbling may represent an effective therapeutic option in keratoconic patients with peripheral thinning in the residual host corneal tissue and subsequent Descemet membrane detachment.

Keywords
Descemet membrane detachment, Keratoconus, Penetrating keratoplasty, Spontaneous
Pubmed
Open Access
Yes
Create date
19/01/2018 10:47
Last modification date
20/08/2019 15:09
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