title: Intraoperative Optical Coherence Tomography-Assisted Descemet Stripping Automated Endothelial Keratoplasty for Anterior Chamber Fibrous Ingrowth.
abstract: OBJECTIVE
  Here, we present the first reported case of intraoperative optical coherence tomography (OCT)-assisted Descemet membrane stripping automated endothelial keratoplasty (DSAEK) in a patient with anterior segment fibrous ingrowth.
  
  
  METHODS
  A 61-year-old woman with corneal edema and chronic angle-closure glaucoma secondary to fibrous ingrowth after 2 glaucoma shunt device implantations underwent dissection and removal of anterior chamber fibrous ingrowth and DSAEK. The surgical techniques using intraoperative OCT and outcome are described.
  
  
  RESULTS
  Intraoperative OCT provided a clear dissection plane of the fibrous membranes in the anterior chamber and view of their relation to the iris and corneal endothelium, despite an opacified cornea. The placement of the donor lenticule and absence of interface fluid were also verified intraoperatively. The postoperative course was uncomplicated with satisfactory outcome.
  
  
  CONCLUSIONS
  We conclude that intraoperative OCT is a useful tool during DSAEK surgery, particularly in complicated cases such as anterior segment fibrous ingrowth and significant corneal edema.
authors.affiliation: UPMC Eye Center, University of Pittsburgh, Pittsburgh, PA.
authors.forename: Tarek A
authors.initials: TA
authors.lastname: Shazly
authors.forename: Lillian K
authors.initials: LK
authors.lastname: To
authors.forename: Ian P
authors.initials: IP
authors.lastname: Conner
authors.forename: Ladan
authors.initials: L
authors.lastname: Espandar
mesh_terms: D000867:Anterior Chamber / Q000473:pathology* / Q000601:surgery; D003316:Corneal Diseases / Q000601:surgery*; D015715:Corneal Edema; D057111:Descemet Stripping Endothelial Keratoplasty; D005260:Female; D005355:Fibrosis / Q000209:etiology; D020327:Glaucoma Drainage Implants / Q000009:adverse effects; D015812:Glaucoma, Angle-Closure / Q000209:etiology; D006801:Humans; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D041623:Tomography, Optical Coherence / Q000379:methods*