Spontaneous resolution of partial donor disk dislocation after deep lamellar endothelial keratoplasty.
OBJECTIVE
We report a case of spontaneous resolution of donor disk partial dislocation after deep lamellar endothelial keratoplasty (DLEK).


METHODS
Case report.


METHODS
A 70-year-old male with right pseudophakia bullous keratopathy underwent DLEK. Postoperatively, a partial dislocation of inferior donor disk was noted. Repositioning surgery with gas tamponade was performed.


RESULTS
The interfacial separation remained after gas tamponade. Two weeks later, corneal edema subsided, and there was a reduction in interfacial separation. One month after DLEK, donor disk spontaneously attached to recipient corneal bed. At the six-month follow-up, astigmatism was 1.75 diopters. Specular microscopy showed endothelial counts of 1520 cells/mm(2). Spectacle-corrected visual acuity improved to 6/15.


CONCLUSIONS
Partial dislocation of donor disk after DLEK has a possibility of spontaneous resolution, even after a failed attempt at gas tamponade.
Shen
Ying-Cheng
YC
Department of Ophthalmology, Taichung Veterans General Hospital, Taiwan, ROC. eric550131@yahoo.com.tw
Wang
Chun-Yuan
CY
Tsai
Hin-Yeung
HY
Wu
Meng-Ju
MJ
Lee
Yi-Fen
YF
D000368:Aged; D002452:Cell Count; D016039:Corneal Transplantation; D004728:Endothelium, Corneal / Q000503:physiopathology* / Q000601:surgery; D006801:Humans; D004204:Joint Dislocations / Q000209:etiology / Q000503:physiopathology*; D008297:Male; D012075:Remission, Spontaneous; D014019:Tissue Donors; D014792:Visual Acuity