Posterior lamellar disc dislocation into the vitreous cavity during descemet stripping automated endothelial keratoplasty.
We present a case of a dislocated posterior lamellar lenticule into the vitreous cavity during Descemet stripping automated endothelial keratoplasty. After insertion of the donor disc in a partially vitrectomized eye with partial iris loss, the graft dislocated into the vitreous cavity. With a standard 3-port vitrectomy and the help of perflourocarbon fluid, the graft was lifted into the anterior segment of the eye and firmly attached to the recipient cornea using liquid-air exchange. The postoperative follow-up was without complications. The cornea was clear at the third day after surgery without recurrent graft dislocation.
Grueterich
Martin
M
Department of Ophthalmology, University Eye Hospital, Ludwig-Maximilians University, Munich, Germany. martin.grueterich@med.uni-muenchen.de
Messmer
Elisabeth
E
Kampik
A
A
D001331:Automation; D003316:Corneal Diseases / Q000601:surgery*; D016039:Corneal Transplantation / Q000009:adverse effects* / Q000379:methods; D003886:Descemet Membrane / Q000601:surgery*; D004728:Endothelium, Corneal / Q000637:transplantation*; D006801:Humans; D007431:Intraoperative Complications; D007906:Lens Subluxation / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D014463:Ultrasonography; D014822:Vitreous Body / Q000000981:diagnostic imaging