title: Removal of Retained Descemets Membrane Using Femtosecond Laser.
abstract: We present a unique method of retrocorneal membrane removal with a femtosecond laser (FSL). A 22-year-old male who had undergone penetrating keratoplasty had a retained retrocorneal membrane and a double anterior chamber postoperatively. The membrane was dissected completely with the FSL and the free-floating membrane was removed. Histopathological evaluation confirmed the diagnosis of retained Descemets membrane (DM). There was improvement in uncorrected visual acuity from 20/300 to 20/50. Central corneal endothelial cell count was 810 cells/mm(2) preoperatively and 778 cells/mm(2) postoperatively. Inadvertent retention of DM may be safely treated with the FSL. Clarity and viability of the existing graft can be maintained.
authors.affiliation: King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
authors.forename: William
authors.initials: W
authors.lastname: May
authors.affiliation: Department of Ophthalmology, College of Medicine, Qassim University, Qassim, Saudi Arabia.
authors.forename: Sultan
authors.initials: S
authors.lastname: Alrashidi
authors.affiliation: The Johns Hopkins University School of Medicine, The Wilmer Eye Institute, Baltimore, MD, USA.
authors.forename: Yassine J
authors.initials: YJ
authors.lastname: Daoud
mesh_terms: D000867:Anterior Chamber / Q000473:pathology; D003886:Descemet Membrane / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007640:Keratoconus / Q000601:surgery*; D015948:Keratoplasty, Penetrating; D053685:Laser Therapy / Q000379:methods*; D008297:Male; D033401:Microscopy, Acoustic; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D014792:Visual Acuity / Q000502:physiology; D055815:Young Adult
keywords: Cornea Transplant; Descemets Membrane; Femtosecond Laser