title: Descemet stripping automated endothelial keratoplasty in a child after failed penetrating keratoplasty.
abstract: Use of Descemet stripping automated endothelial keratoplasty (DSAEK) has been reported in children for the treatment of postoperative endothelial decompensation and Descemet membrane break after forceps delivery. Rapid visual recovery and minimally induced postoperative astigmatism make DSAEK preferable to penetrating keratoplasty for the management of isolated endothelial disorders in this age group. We present a case of DSAEK in a 4-year-old boy for the management of irreversible endothelial rejection after penetrating keratoplasty. Three months after the procedure, the cornea remained clear with the donor button in place.
authors.affiliation: Institute of Vision and Optics, Department of Medicine, University of Crete, Heraklion, Crete, Greece. kymionis@med.uoc.gr
authors.forename: George D
authors.initials: GD
authors.lastname: Kymionis
authors.forename: Vardhaman P
authors.initials: VP
authors.lastname: Kankariya
authors.forename: Vasilios F
authors.initials: VF
authors.lastname: Diakonis
authors.forename: Alexandra E
authors.initials: AE
authors.lastname: Karavitaki
authors.forename: Charalampos S
authors.initials: CS
authors.lastname: Siganos
authors.forename: Ioannis G
authors.initials: IG
authors.lastname: Pallikaris
mesh_terms: D002675:Child, Preschool; D003317:Corneal Dystrophies, Hereditary; D057111:Descemet Stripping Endothelial Keratoplasty / Q000379:methods*; D005642:Fuchs' Endothelial Dystrophy / Q000503:physiopathology / Q000601:surgery*; D006084:Graft Rejection / Q000209:etiology / Q000601:surgery; D006801:Humans; D015948:Keratoplasty, Penetrating / Q000379:methods*; D008297:Male; D012086:Reoperation; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology