Anterior segment OCT-based diagnosis and management of retained Descemet's membrane following penetrating keratoplasty.
OBJECTIVE
To report a case of retained Descemet's membrane after penetrating keratoplasty for congenital hereditary endothelial dystrophy (CHED) documented by anterior segment optical coherence tomography and review of literature.


METHODS
Case report and review of literature.


RESULTS
A 14-year-old boy underwent penetrating keratoplasty for CHED. A retained host Descemet's membrane was detected with a supernumerary anterior chamber on the first postoperative day. The retained Descemet's membrane was documented using slit lamp adapted anterior segment optical coherence tomography (SLOCT). Surgical intervention for the Descemet's membrane removal was done in the third postoperative week. The complete removal of the membrane was confirmed on SLOCT.


CONCLUSIONS
Inadvertent retention of the host Descemet's membrane is a rare but possible complication in penetrating keratoplasty for CHED. Proper anticipation, early detection and removal will help in preventing any undue risk of graft failure.
Vengayil
Sujith
S
Cornea Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi 110029, India.
Vanathi
M
M
Panda
Anita
A
Khokhar
Sudharshan
S
D000293:Adolescent; D000869:Anterior Eye Segment / Q000473:pathology; D003317:Corneal Dystrophies, Hereditary / Q000601:surgery; D003886:Descemet Membrane / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D015948:Keratoplasty, Penetrating / Q000009:adverse effects*; D008297:Male; D011183:Postoperative Complications; D041623:Tomography, Optical Coherence