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Corneal Graft Detachment Without Corneal Edema After Descemet Stripping Automated Endothelial Keratoplasty

Zafirakis, Panayotis MD*; Kymionis, George D MD, PhD†; Grentzelos, Michael A MD†; Livir-Rallatos, Gerasimos MD*

doi: 10.1097/ICO.0b013e3181b46bc2
Case Report

Purpose: To report the case of a patient who underwent Descemet stripping automated endothelial keratoplasty complicated by corneal graft detachment without corneal edema.

Methods: Case report.

Results: A 60-year-old man with bilateral decompensated endothelium 10 years after cataract extraction and anterior chamber intraocular lens implantation underwent combined anterior chamber intraocular lens explantation with iris-sutured posterior chamber intraocular lens implantation and Descemet stripping automated endothelial keratoplasty on the right eye. On the second postoperative day, the corneal graft was attached. Two weeks postoperatively, slit lamp examination revealed a double anterior chamber resulting from corneal graft detachment. The corneal graft was reattached by repositioning and injecting air. One week later, the corneal graft had detached again, creating a double anterior chamber. No corneal edema was present. Nine months postoperatively, the cornea remained clear, although a double anterior chamber was still evident as a result of the detached corneal graft.

Conclusion: Despite post-Descemet stripping automated endothelial keratoplasty corneal graft detachment, the cornea remained without edema.

From *Hellenic Ophthalmosurgical, Athens, Greece; and †Institute of Vision and Optics (IVO), Department of Ophthalmology, University of Crete, Crete, Greece.

Received for publication December 31, 2008; revision received May 19, 2009; accepted June 10, 2009.

Reprints: George D. Kymionis, MD, PhD, University of Crete, Medical School, Institute of Vision and Optics (IVO), 71003 Heraklion, Crete, Greece (e-mail: kymionis@med.uoc.gr).

© 2010 Lippincott Williams & Wilkins, Inc.