Epithelial ingrowth after Descemet-stripping automated endothelial keratoplasty.
OBJECTIVE
To report the diagnosis and treatment of a patient who developed epithelial ingrowth after Descemet-stripping automated endothelial keratoplasty (DSAEK).


METHODS
We describe the case of an 80-year-old woman who underwent DSAEK for pseudophakic bullous keratopathy. After surgery, the patient underwent 2 additional rebubbling procedures for recurrent donor lenticule dislocation. She was subsequently found to have an enlarging interface epithelial ingrowth that led to graft failure.


RESULTS
After donor lenticule exchange, mechanical scraping, and irrigation-aspiration of residual epithelial cells, there was no evidence of the histologically confirmed epithelial ingrowth during a 2-year follow-up interval.


CONCLUSIONS
This 1 case report suggests that epithelial ingrowth may occur after DSAEK. This case was successfully treated surgically.
Koenig
Steven B
SB
The Eye Institute, Froedtert and Medical College of Wisconsin, Milwaukee, WI, USA. skoenig@mcw.edu
Covert
Douglas J
DJ
D000368:Aged; D000369:Aged, 80 and over; D000867:Anterior Chamber / Q000473:pathology*; D003316:Corneal Diseases / Q000209:etiology* / Q000601:surgery; D016039:Corneal Transplantation / Q000009:adverse effects*; D003886:Descemet Membrane / Q000601:surgery*; D004728:Endothelium, Corneal / Q000637:transplantation*; D019573:Epithelium, Corneal / Q000473:pathology*; D005260:Female; D006801:Humans; D012086:Reoperation