Abstract
BackgroundDescemet'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 PresentationA 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.ConclusionsThe 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.
Highlights
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
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
The array of post PKP complications such as suture - induced irregular astigmatism, delayed visual rehabilitation and high graft rejection rate have led to the development and increasing popularity of techniques that selectively transplant the endothelium [1]
Summary
Endothelial dysfunction and secondary corneal edema were traditionally considered indications for penetrating keratoplasty (PKP). In DSAEK, the donor lamellar graft is created by a microkeratome which minimizes stromal irregularities and increases visual rehabilitation and recovery In this case report, we present a patient with transient peripheral corneal edema following corneal graft displacement after DSAEK. Case Report A 36 year - old man was referred to our institute with complaints about pain in both eyes, blurred vision especially on awakening and bilateral progressive visual loss, worse in the left eye. His uncorrected distance visual acuity (UDVA) was 20/40 in the right eye and 20/30 in the left eye. Patients’ initial corneal thickness in the area of the displaced graft was 743 μm and 3 months later decreased to 685 μm
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