Inadvertent retention of Descemet Membrane in penetrating keratoplasty.
OBJECTIVE
To present a case of inadvertently retained Descemet Membrane (DM).


METHODS
Case report.


RESULTS
A 41-year-old male with previous history of retinal detachment surgery underwent a repeat penetrating keratoplasty; the first graft decompensated secondary to silicone oil. Postoperatively, an inadvertently retained DM was observed forming a physical barrier to the silicone oil.


CONCLUSIONS
Retained DM is a rare complication of penetrating keratoplasty, with only a few cases reported in the literature. This membrane served a protective role from the effects of silicone oil on the donor cornea but later opacified and required surgical intervention.
Thyagarajan
Sri
S
Department of Ophthalmology, St Thomas' Hospital, London, United Kingdom. srithyagarajan@doctors.org.uk
Mearza
Ali A
AA
Falcon
Michael G
MG
D000328:Adult; D002387:Cataract Extraction; D003316:Corneal Diseases / Q000209:etiology*; D003886:Descemet Membrane / Q000473:pathology*; D006085:Graft Survival; D006801:Humans; D015948:Keratoplasty, Penetrating / Q000009:adverse effects*; D008297:Male; D012086:Reoperation; D012163:Retinal Detachment / Q000601:surgery; D012827:Silicone Oils / Q000008:administration & dosage
D012827:Silicone Oils