Spontaneous Resolution of Partial Donor Disk Dislocation After Deep Lamellar Endothelial Keratoplasty - 21/08/11
, Chun-Yuan Wang, MD a, c, Hin-Yeung Tsai, MD a, c, Meng-Ju Wu, MD a, Yi-Fen Lee, MD a
Inquiries to Ying-Cheng Shen, MD, Department of Ophthalmology, Taichung Veterans General Hospital, No. 160, Section 3, Taichung Harbor Road, Taichung, Taiwan, ROCRésumé |
Purpose |
We report a case of spontaneous resolution of donor disk partial dislocation after deep lamellar endothelial keratoplasty (DLEK).
Design |
Case report.
Methods |
A 70-year-old male with right pseudophakia bullous keratopathy underwent DLEK. Postoperatively, a partial dislocation of inferior donor disk was noted. Repositioning surgery with gas tamponade was performed.
Results |
The interfacial separation remained after gas tamponade. Two weeks later, corneal edema subsided, and there was a reduction in interfacial separation. One month after DLEK, donor disk spontaneously attached to recipient corneal bed. At the six-month follow-up, astigmatism was 1.75 diopters. Specular microscopy showed endothelial counts of 1520 cells/mm2. Spectacle-corrected visual acuity improved to 6/15.
Conclusions |
Partial dislocation of donor disk after DLEK has a possibility of spontaneous resolution, even after a failed attempt at gas tamponade.
Le texte complet de cet article est disponible en PDF.| The authors indicate no financial support or financial conflict of interest in this study. Involved in design of study (Y.-C.S.); Involved in collection, management, analysis and interpretation of data, and preparation of the data (Y.-C.S., C.-Y.W.); Involved in collection of data (C.-Y.W., H.-Y.T., M.-J.W., Y.-F.L.); and involved in management, statistical analysis, and interpretation of the data, and preparation of the manuscript (Y.-C.S., M.-J.W.). |
Vol 143 - N° 2
P. 358-360 - février 2007 Retour au numéro
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