Retained nuclear fragment found during Descemet-stripping automated endothelial keratoplasty.
An 82-year-old man with a 2- to 3-month history of progressive visual loss due to corneal edema was referred to our center. The ocular history was significant for uneventful cataract surgery approximately 3 years earlier. Pseudophakic bullous keratopathy was diagnosed and Descemet-stripping automated endothelial keratoplasty (DSAEK) performed. During surgery, a retained nuclear fragment was discovered in the anterior chamber. The fragment was removed and the DSAEK completed successfully. At the 4-month follow-up, the symptoms had completely resolved and the uncorrected distance visual acuity in the affected eye was 20/40.
Department of Ophthalmology and Visual Sciences, John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, USA. mark.mifflin@hsc.utah.edu
Mark D
MD
Mifflin
Marcus C
MC
Neuffer
Nick
N
Mamalis
D000369:Aged, 80 and over; D000867:Anterior Chamber / Q000473:pathology; D015715:Corneal Edema / Q000601:surgery; D057111:Descemet Stripping Endothelial Keratoplasty; D006801:Humans; D007907:Lens Nucleus, Crystalline / Q000473:pathology*; D007906:Lens Subluxation / Q000175:diagnosis*; D008297:Male; D018918:Phacoemulsification