Spontaneous resolution of Descemet membrane detachment following big-bubble deep anterior lamellar keratoplasty.
OBJECTIVE
To report 2 cases of delayed spontaneous Descemet membrane (DM) reattachment following big-bubble deep anterior lamellar keratoplasty (DALK).


METHODS
A 21-year-old man with keratoconus and a 36-year-old woman with corneal macular dystrophy underwent big-bubble DALK. No injury to DM was noted intraoperatively or postoperatively. Postoperatively, the patients developed central DM detachment with double anterior chamber formation. A nonsurgical conservative approach (waiting technique) was adopted.


RESULTS
Three weeks postoperatively, the double anterior chamber resolved spontaneously with complete DM reattachment and a clear donor cornea.


CONCLUSIONS
DM detachment and double anterior chamber following big-bubble DALK may resolve spontaneously.
Goldich
Yakov
Y
Department of Ophthalmology, Assaf Harofeh Medical Center, Beer Yaakov, Zerifin, Tel-Aviv University - Israel.
Zadok
David
D
Avni
Isaac
I
D000328:Adult; D003316:Corneal Diseases / Q000209:etiology / Q000503:physiopathology*; D003317:Corneal Dystrophies, Hereditary / Q000601:surgery*; D016039:Corneal Transplantation; D003886:Descemet Membrane / Q000503:physiopathology*; D005260:Female; D006801:Humans; D007640:Keratoconus / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications; D012075:Remission, Spontaneous; D012422:Rupture, Spontaneous