Astigmatism Research Today is a free monthly online journal that collates and summarizes the latest research about Astigmatism, including details on cornea, retina, treatment, types, signs, tests.

Spontaneous resolution of partial donor disk dislocation after deep lamellar endothelial keratoplasty.

Shen YC, Wang CY, Tsai HY, Wu MJ, Lee YF

Department of Ophthalmology, Taichung Veterans General Hospital, Taiwan, ROC. eric550131@yahoo.com.tw

PURPOSE: We report a case of spontaneous resolution of donor disk partial dislocation after deep lamellar endothelial keratoplasty (DLEK). DESIGN: Case report. METHODS: A 70-year-old male with right pseudophakia bullous keratopathy underwent DLEK. Postoperatively, a partial dislocation of inferior donor disk was noted. Repositioning surgery with gas tamponade was performed. RESULTS: The interfacial separation remained after gas tamponade. Two weeks later, corneal edema subsided, and there was a reduction in interfacial separation. One month after DLEK, donor disk spontaneously attached to recipient corneal bed. At the six-month follow-up, astigmatism was 1.75 diopters. Specular microscopy showed endothelial counts of 1520 cells/mm(2). Spectacle-corrected visual acuity improved to 6/15. CONCLUSIONS: Partial dislocation of donor disk after DLEK has a possibility of spontaneous resolution, even after a failed attempt at gas tamponade.

Published 29 January 2007 in Am J Ophthalmol, 143(2): 358-60.
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