Double Descemet's membranes after penetrating keratoplasty with anterior segment optical coherence tomography.
An 83-year-old man underwent penetrating keratoplasty for pseudophakic bullous keratopathy in the left eye. Postoperatively, a thin transparent membrane in the anterior chamber was noted. The differential diagnosis included vitreous prolapse, retained capsule, fibrinous anterior chamber membrane, and retained Descemet's membrane in the anterior chamber, but the diagnosis was uncertain due to corneal edema and Descemet's membrane folds. Anterior segment optical coherence tomography was used to determine the diagnosis of retained host Descemet's membrane. This case report demonstrates that anterior segment optical coherence tomography is a useful and noninvasive instrument for diagnosing and following complications from penetrating keratoplasty.
Ide
Takeshi
T
Bascom Palmer Eye Institute, Miami, FL 33136, USA.
Yoo
Sonia H
SH
Kymionis
George D
GD
Shah
Pulin A
PA
O'Brien
Terrence R
TR
D000369:Aged, 80 and over; D000869:Anterior Eye Segment / Q000473:pathology*; D003316:Corneal Diseases / Q000601:surgery; D003886:Descemet Membrane / Q000473:pathology*; D006801:Humans; D015948:Keratoplasty, Penetrating / Q000009:adverse effects*; D008297:Male; D011183:Postoperative Complications; D041623:Tomography, Optical Coherence