@article{3173545, title = "Treatment of anterior corneal scarring, following DSAEK graft failure, with combined graft exchange and phototherapeutic keratectomy", author = "Kymionis, George and Oikonomakis, Konstantinos and Petrelli, Myrsini and and Andreanos, Konstantinos and Mouchtouris, Andreas and Georgalas, Ilias", journal = "Eye and Vision", year = "2017", volume = "4", publisher = "BMC", issn = "2326-0254", doi = "10.1186/s40662-017-0078-6", keywords = "DSAEK failure; Anterior corneal scar; Graft exchange; Phototherapeutic keratectomy", abstract = "Background: To present a method, alternative to penetrating keratoplasty, for the restoration of impaired corneal clarity with anterior stromal scarring following long-standing corneal graft failure. Case presentation: A 48-year old female who had previously underwent Descemet stripping automated endothelial keratoplasty (DSAEK) for the treatment of pseudophakic bullous keratopathy, presented with long-standing corneal oedema and anterior corneal scarring. A significant improvement in corrected distance visual acuity was demonstrated, as corneal clarity was restored following graft exchange and phototherapeutic keratectomy (PTK). Conclusions: The combination of corneal graft exchange and phototherapeutic keratectomy may represent an effective therapeutic option for long-standing corneal oedema with concomitant anterior corneal scarring after failure of a DSAEK graft." }