Deep sclerectomy after DSAEK : A cautionary tale

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A 78-year-old pseudophakic women with pseudoexfoliation glaucoma and 6-year history of prior Descemet's stripping automated endothelial keratoplasty (DSAEK) underwent deep sclerectomy for a poorly controlled glaucoma. Exposure of the trabeculo-Descemet's window (TDW), showed a very poor drainage. An attempt to dissect the fibrous tissue off the TDW resulted in perforation of the window needing peripheral iridectomy, followed by a white fibrous band which had to be excised to prevent blockade of the filtration channel. Postoperatively, there was complete detachment of the endothelial graft on day 1 with an intraocular pressure of 20 mm Hg. She was commenced on topical steroids and listed for a revisionary DSAEK in 6 weeks but when reviewed in a month postoperatively, a spontaneous reattachment of the endothelial graft was seen.

Media Type:

Electronic Article

Year of Publication:

2021

Publication:

2021

Contained In:

To Main Record - volume:14

Contained In:

BMJ case reports - 14(2021), 6 vom: 15. Juni

Language:

English

Contributors:

Salam, Aysha [Author]

Links:

Volltext

Keywords:

Case Reports
Journal Article
Ophthalmology
Surgery

Notes:

Date Completed 17.06.2021

Date Revised 16.06.2023

published: Electronic

Citation Status MEDLINE

doi:

10.1136/bcr-2020-237541

funding:

Supporting institution / Project title:

PPN (Catalogue-ID):

NLM326786309