Τίτλος:
Surgical management of spontaneous, late-onset Descemet membrane
detachment after penetrating keratoplasty for keratoconus: a case report
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Background: To report a surgical method for treating corneal oedema in a
case of late-onset Descemet membrane detachment after penetrating
keratoplasty.
Case presentation: A 55-year old patient presented with sudden visual
loss in his left eye 28 years after penetrating keratoplasty for
keratoconus. Slit-lamp biomicroscopy revealed a distortion of the
corneal graft anatomy with protrusion of the graft and peripheral
thinning and steepening in the residual host tissue, accompanied by
corneal graft oedema. Anterior segment optical coherence tomography
revealed detachment of Descemet membrane localized to the area of the
graft oedema. We proceeded with a full-thickness, partially
circumferential incision in the graft-host junction, followed by
repositioning and re-suturing of the graft in place, and intracameral
air injection in order to achieve reattachment of Descemet membrane.
Conclusions: Corneal graft repositioning in combination with re-bubbling
may represent an effective therapeutic option in keratoconic patients
with peripheral thinning in the residual host corneal tissue and
subsequent Descemet membrane detachment.
Συγγραφείς:
Petrelli, Myrsini
Oikonomakis, Konstantinos
Andreanos,
Konstantinos
Mouchtouris, Andreas
Georgalas, Ilias
Kymionis,
George
Περιοδικό:
Eye and Vision
Λέξεις-κλειδιά:
Keratoconus; Penetrating keratoplasty; Spontaneous; Descemet membrane
detachment
DOI:
10.1186/s40662-017-0080-z
