Late repeat Descemet-stripping automated endothelial keratoplasty.
OBJECTIVE
To report the outcomes of 2 patients who underwent repeat Descemet-stripping automated endothelial keratoplasty (DSAEK) 13 and 23 months after their primary surgeries.


METHODS
Two patients underwent repeat DSAEK for late graft failure at approximately 1 and 2 years, respectively. The operative procedure involved removing the failed graft and replacing it with new donor tissue.


RESULTS
The postoperative visual recovery was similar to the visual outcomes of primary DSAEK surgery, with both patients achieving 20/30 or better best spectacle-corrected visual acuity within 3 months. There were no signs of interface scarring after surgical removal of the failed donor disc.


CONCLUSIONS
Late repeat DSAEK can result in rapid visual recovery without interface scarring.
Gorovoy
Mark S
MS
Gorovoy MD Eye Specialists, Ft Myers, FL, USA. mgorovoy@gorovoyeye.com
Meisler
David M
DM
Dupps
William J
WJ
D000368:Aged; D016039:Corneal Transplantation; D003886:Descemet Membrane / Q000601:surgery*; D004728:Endothelium, Corneal / Q000637:transplantation*; D005260:Female; D006084:Graft Rejection / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D014792:Visual Acuity