Aclaramiento corneal espontáneo tras desprendimiento del injerto en DMEK

  1. Luis Fernández-Vega Cueto 1
  2. Carlos Lisa 1
  3. Keamela Vasanthananthan 2
  4. David Madrid-Costa 1
  5. José F. Alfonso 1
  6. Gerrit R.J. Melles 2
  1. 1 Instituto Oftalmológico Fernández-Vega, Oviedo, Asturias, España
  2. 2 Netherlands Institute for Innovative Ocular Surgery
    info

    Netherlands Institute for Innovative Ocular Surgery

    Róterdam, Holanda

    ROR https://ror.org/04hmqap24

Revue:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Année de publication: 2023

Volumen: 98

Número: 3

Pages: 170-174

Type: Article

DOI: 10.1016/J.OFTAL.2022.11.003 DIALNET GOOGLE SCHOLAR

D'autres publications dans: Archivos de la Sociedad Española de Oftalmologia

Résumé

Descemet Membrane detachment is a potential complication after Descemet Membrane Endothelial Keratoplasty (DMEK). Here, we present a unique case of a DMEK surgery in a complicated eye that suffered a nearly complete DMEK graft detachment and later a graft opacification with a pseudo-anterior chamber. In Mid-November 2020, a planned DMEK was performed in a 64-year-old male patient due to corneal decompensation. Four months after DMEK, a fibrotic DMEK graft was seen across the anterior chamber with a pseudo-anterior chamber; however, the recipient cornea showed complete clearance with an endothelial cell count of about 1204 cells/mm2 and a best-corrected visual acuity of 20/25. Three months later, we observed a significant opacification of the detached graft, and the best-corrected distance visual acuity decreased to 20/63. We proceeded with the graft removal without performing a second DMEK. Ten months after graft removal, the cornea remained clear with an endothelial cell count of about 510 cells/mm2, and the best-corrected visual acuity was 20/25.

La source de données: Dialnet