Hardiness of a Descemet membrane endothelial keratoplasty (DMEK) graft is not well established. The aim of this study was to report a case of graft survival after intraoperative inversion.
We describe a case of a 76-year-old man with Fuchs corneal dystrophy who underwent DMEK in the left eye. After deployment of the graft and a 15-minute sulfur hexafluoride gas fill, the graft was noted to be inverted. The graft was then reoriented and properly positioned.
Because of progressive graft detachment, rebubble was required at 2 weeks after surgery. At 2 months after surgery, the graft was clear and fully adherent. Specular microscopy revealed 27.9% endothelial cell loss of the donor cornea.
Despite intraoperative inversion, this DMEK graft remained viable without excessive endothelial cell loss.
*Department of Ophthalmology, Stanford University School of Medicine, Palo Alto, CA;
†Corneal Services, Devers Eye Institute, Portland, OR; and
‡Department of Ophthalmology, Weill Cornell Medical College, New York, NY.
Reprints: Charles C. Lin, MD, Byers Eye Institute at Stanford, 2452 Watson Court, Palo Alto, CA 94304 (e-mail: firstname.lastname@example.org).
The authors have no funding or conflicts of interest to disclose.
Received August 29, 2014
Received in revised form October 06, 2014
Accepted October 08, 2014