Deep sclerectomy after DSAEK : A cautionary tale
© BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ..
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.
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Electronic Article |
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Year of Publication: |
2021 |
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Publication: |
2021 |
Contained In: |
To Main Record - volume:14 |
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Contained In: |
BMJ case reports - 14(2021), 6 vom: 15. Juni |
Language: |
English |
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Contributors: |
Salam, Aysha [Author] |
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Notes: |
Date Completed 17.06.2021 Date Revised 16.06.2023 published: Electronic Citation Status MEDLINE |
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doi: |
10.1136/bcr-2020-237541 |
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PPN (Catalogue-ID): |
NLM326786309 |
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520 | |a 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 | ||
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