title: Retained Descemet's membrane following penetrating keratoplasty for Fuchs' endothelial dystrophy: a case report of a post-operative complication.
abstract: OBJECTIVE
  To report a case of retained Descemet's membrane following penetrating keratoplasty in a patient suffering from Fuchs' endothelial corneal dystrophy. The use of confocal microscopy, histopathological tissue analysis, and treatment options are discussed.
  
  
  METHODS
  Case report of an 85-year-old man with a past ophthalmic history of atrophic macular degeneration, underwent a penetrating keratoplasty for Fuchs' endothelial corneal dystrophy. Postoperative review revealed a retained retrocorneal membrane within the anterior chamber. Further surgery was performed to excise the membrane, with a subjective and objective postoperative improvement in visual acuity and without subsequent complications of the corneal graft.
  
  
  RESULTS
  Histopathological assessment confirmed the clinical suspicion of a retained Descemet's membrane, marrying with the initial histology from the corneal button excised during the penetrating keratoplasty, which showed only a very thin Descemet's layer.
  
  
  CONCLUSIONS
  Retention of the Descemet's membrane following penetrating keratoplasty is a rare but potential complication of this surgery, particularly in cases of Fuchs' endothelial corneal dystrophy due to the thickened and abnormal histological nature of the endothelium and high index of suspicion is required.
authors.affiliation: Eye Clinic, Royal United Bath Hospital, Bath, UK ; Ophthalmology Department, Aberdeen Royal Infirmary, Aberdeen, United Kingdom.
authors.forename: Katherine
authors.initials: K
authors.lastname: McVeigh
authors.forename: Kurt Spiteri
authors.initials: KS
authors.lastname: Cornish
authors.forename: Aravind R
authors.initials: AR
authors.lastname: Reddy
authors.forename: Georgios
authors.initials: G
authors.lastname: Vakros
keywords: Fuch’s endothelial corneal dystrophy; corneal graft; penetrating keratoplasty; retained Descemet’s membrane
references.citation: Am J Ophthalmol. 2005 Sep;140(3):509-16
references.pmid: 16196117
references.citation: Ocul Surf. 2010 Oct;8(4):173-84
references.pmid: 20964980
references.citation: Jpn J Ophthalmol. 2009 Nov;53(6):653-655
references.pmid: 20020249
references.citation: J Cataract Refract Surg. 2003 Sep;29(9):1842-4
references.pmid: 14522313
references.citation: Cornea. 2006 Jul;25(6):748-9
references.pmid: 17077674
references.citation: Cornea. 2007 Dec;26(10):1263-6
references.pmid: 18043188
references.citation: Cornea. 2006 Sep;25(8):895-9
references.pmid: 17102663