title: Successful DMEK after intraoperative graft inversion.
abstract: OBJECTIVE
  Hardiness of a Descemet membrane endothelial keratoplasty (DMEK) graft is not well established. The aim of this study was to report a case of graft survival after intraoperative inversion.
  
  
  METHODS
  We describe a case of a 76-year-old man with Fuchs corneal dystrophy who underwent DMEK in the left eye. After deployment of the graft and a 15-minute sulfur hexafluoride gas fill, the graft was noted to be inverted. The graft was then reoriented and properly positioned.
  
  
  RESULTS
  Because of progressive graft detachment, rebubble was required at 2 weeks after surgery. At 2 months after surgery, the graft was clear and fully adherent. Specular microscopy revealed 27.9% endothelial cell loss of the donor cornea.
  
  
  CONCLUSIONS
  Despite intraoperative inversion, this DMEK graft remained viable without excessive endothelial cell loss.
authors.affiliation: *Department of Ophthalmology, Stanford University School of Medicine, Palo Alto, CA; †Corneal Services, Devers Eye Institute, Portland, OR; and ‡Department of Ophthalmology, Weill Cornell Medical College, New York, NY.
authors.forename: Charles Q
authors.initials: CQ
authors.lastname: Yu
authors.forename: Christopher N
authors.initials: CN
authors.lastname: Ta
authors.forename: Mark A
authors.initials: MA
authors.lastname: Terry
authors.forename: Charles C
authors.initials: CC
authors.lastname: Lin
mesh_terms: D000368:Aged; D003886:Descemet Membrane / Q000473:pathology; D057111:Descemet Stripping Endothelial Keratoplasty; D004728:Endothelium, Corneal / Q000473:pathology; D005642:Fuchs' Endothelial Dystrophy / Q000503:physiopathology / Q000601:surgery*; D006085:Graft Survival / Q000502:physiology; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D019300:Medical Errors; D012086:Reoperation; D013459:Sulfur Hexafluoride / Q000008:administration & dosage; D014019:Tissue Donors; D014792:Visual Acuity / Q000502:physiology
chemical_list: D013459:Sulfur Hexafluoride