Abstract

Purpose: There is no data on management of intraoperative ejection of a Descemet membrane endothelial keratoplasty (DMEK) graft. We report a case of graft survival after intraoperative ejection with long term endothelial cell counts and vision. Case Presentation: A 64-year-old woman with Fuchs corneal dystrophy underwent DMEK in the right eye, during which the graft was completed ejected from the eye, and then recovered and reinjected successfully. She subsequently also underwent DMEK in the left eye without complication. The patient had recovery of vision in both eyes to 20/20 shortly after each surgery. There was much greater loss of endothelial cells in the eye which experienced graft ejection than the eye with routine DMEK surgery (79% vs 44%). Conclusions: Our results support attempt to recover ejected DMEK graft if conditions are appropriate, but also show that there will be increased loss of endothelial cells as compared to routine surgery.

Full Text

Published Version

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call

Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.