Persistent Localized Descemet Membrane Endothelial Keratoplasty Detachments Secondary to Corneal Ink Stain Marks

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PURPOSE: The aim of this study was to describe 2 cases of persistent endothelial graft detachments secondary to corneal gentian violet ink stain marks.

METHODS: This study included a case review of hospital records of 2 eyes with localized Descemet's membrane detachments after Descemet membrane endothelial keratoplasty (DMEK) surgery.

RESULTS: Two patients underwent consecutive uncomplicated DMEK surgery for Fuchs endothelial dystrophy with identical techniques. The grafts were marked with an ink marker through a stromal window to ensure correct orientation during donor graft preparation. Both patients had localized detachments around the ink mark on day 1, week 1, and up to 1 month at postoperative review. The persistent detachment was believed to be due to the gentian violet marker used which had a higher concentration of isopropyl alcohol solvent than the standard marking pen routinely used.

CONCLUSIONS: Ink markers with higher concentrations of isopropyl solvent may result in higher DMEK detachment rates and caution is advised when using these markers.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

2023

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:43

Enthalten in:

Cornea - 43(2023), 1 vom: 01. Jan., Seite 133-135

Sprache:

Englisch

Beteiligte Personen:

Patel, Radhika Pooja [VerfasserIn]
Price, Liam [VerfasserIn]
Bizrah, Mukhtar [VerfasserIn]
Din, Nizar [VerfasserIn]

Links:

Volltext

Themen:

Gentian Violet
J4Z741D6O5
Journal Article
Solvents

Anmerkungen:

Date Completed 06.12.2023

Date Revised 06.12.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1097/ICO.0000000000003388

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM361969228