A case of severe corneal flattening after Descemet stripping endothelial keratoplasty.
OBJECTIVE
To report a case of extreme corneal flattening after initially uneventful Descemet stripping endothelial keratoplasty (DSEK).


METHODS
A 76-year-old man underwent uneventful DSEK for pseudophakic bullous keratopathy (PBK) in his left eye. Postoperative evaluations were performed using anterior segment optical coherence tomography and biomicroscopy.


RESULTS
The DSEK graft showed full adherence to the host stroma. Two weeks after surgery, the transplanted cornea developed pronounced flattening of the central corneal curvature accompanied by graft folds and remained unchanged until the most recent follow-up 20 weeks after surgery.


CONCLUSIONS
Severe corneal flattening may be an undescribed complication occurring after uneventful DSEK, without any concomitant ocular pathology or detectable cause.
Netherlands Institute for Innovative Ocular Surgery, Rotterdam - The Netherlands.|Melles Cornea Clinic, Rotterdam - The Netherlands.
Ester
E
Fernández-López
Netherlands Institute for Innovative Ocular Surgery, Rotterdam - The Netherlands.
Alina
A
Miron
Helmholtz Moscow Research Institute of Eye Disease, Moscow - Russia.
Svetlana
S
Pogorelova
Helmholtz Moscow Research Institute of Eye Disease, Moscow - Russia.
Oganes
O
Oganesyan
Netherlands Institute for Innovative Ocular Surgery, Rotterdam - The Netherlands.|Melles Cornea Clinic, Rotterdam - The Netherlands.
Lamis
L
Baydoun
Netherlands Institute for Innovative Ocular Surgery, Rotterdam - The Netherlands.|Melles Cornea Clinic, Rotterdam - The Netherlands.|Helmholtz Moscow Research Institute of Eye Disease, Moscow - Russia.|Amnitrans EyeBank, Rotterdam - The Netherlands.
Gerrit R J
GR
Melles
D000368:Aged; D003315:Cornea / Q000473:pathology*; D003316:Corneal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D063171:Corneal Pachymetry; D019781:Corneal Topography; D057111:Descemet Stripping Endothelial Keratoplasty; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D066167:Slit Lamp; D041623:Tomography, Optical Coherence; D014792:Visual Acuity / Q000502:physiology