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Spontaneous reattachment of Descemet membrane detachment after deep anterior lamellar keratoplasty

Spontaneous reattachment of Descemet membrane detachment after deep anterior lamellar keratoplasty AbstractRationale:To report a case of late spontaneous reattachment of Descemet membrane (DM) detachment after deep anterior lamellar keratoplasty (DALK).Patient concerns:A 50-year-old woman with stromal corneal scarring underwent a DALK with the big bubble technique. The DM detachment and double anterior chamber were observed on the first day after operation.Diagnoses:Descemet membrane detachment after deep anterior lamellar keratoplasty [Oculus Dexter (OD), indicates right eye].Interventions:Sterile air injection was unsuccessful. Conservative observation was performed.Outcomes:During the follow-up, the donor cornea kept transparent and no edema was observed. The DM reattached spontaneously at the fifth months post-DALK.Lessons:The present case suggests that the retained host DM may result in DM detachment after DALK. For the DM detachment without roll rim, the detachment may spontaneously reattach in several months after surgery. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Medicine Wolters Kluwer Health

Spontaneous reattachment of Descemet membrane detachment after deep anterior lamellar keratoplasty

Medicine , Volume 97 (8) – Feb 1, 2018

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References (8)

Publisher
Wolters Kluwer Health
Copyright
Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc.
ISSN
0025-7974
eISSN
1536-5964
DOI
10.1097/MD.0000000000010032
pmid
29465543
Publisher site
See Article on Publisher Site

Abstract

AbstractRationale:To report a case of late spontaneous reattachment of Descemet membrane (DM) detachment after deep anterior lamellar keratoplasty (DALK).Patient concerns:A 50-year-old woman with stromal corneal scarring underwent a DALK with the big bubble technique. The DM detachment and double anterior chamber were observed on the first day after operation.Diagnoses:Descemet membrane detachment after deep anterior lamellar keratoplasty [Oculus Dexter (OD), indicates right eye].Interventions:Sterile air injection was unsuccessful. Conservative observation was performed.Outcomes:During the follow-up, the donor cornea kept transparent and no edema was observed. The DM reattached spontaneously at the fifth months post-DALK.Lessons:The present case suggests that the retained host DM may result in DM detachment after DALK. For the DM detachment without roll rim, the detachment may spontaneously reattach in several months after surgery.

Journal

MedicineWolters Kluwer Health

Published: Feb 1, 2018

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