Non-resolving Descemet folds 2 years following deep anterior lamellar keratoplasty: the impact on visual outcome.
We describe 2 case reports of keratoconus patients showing Descemet's folds persisting more than 2 years after deep anterior lamellar keratoplasty (DLK). One patient had worse best corrected visual acuity postoperatively whereas the other did not improve beyond 6/24. We attribute this to the Descemet's folds. We believe the latter to be a complication following DLK consequent to the degree of localised corneal tissue expansion that may occur in advanced keratoconus in a pathological setting. We also discuss possible mechanisms to try to prevent such a complication.
Mohamed
S R H
SR
University Hospital Birmingham, United Kingdom.
Manna
A
A
Amissah-Arthur
K
K
McDonnell
P J
PJ
D000328:Adult; D000869:Anterior Eye Segment / Q000293:injuries* / Q000601:surgery*; D057111:Descemet Stripping Endothelial Keratoplasty / Q000009:adverse effects*; D006801:Humans; D008297:Male; D016896:Treatment Outcome; D014786:Vision Disorders / Q000175:diagnosis* / Q000209:etiology*