Triamcinolone Acetonide-Assisted Descemetectomy for Retained Descemet Membrane

We present a case of decreased vision due to the presence of retained Descemet membrane (DM) following Descemet stripping automated endothelial keratoplasty (DSAEK) and penetrating keratoplasty (PKP). A 78-year-old male presented postoperatively from PKP after previous failed DSAEK with retained DM....

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Detalles Bibliográficos
Autores principales: Tyring, Ariel, Chang, Oliver, Jung, Hoon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5903106/
https://www.ncbi.nlm.nih.gov/pubmed/29681841
http://dx.doi.org/10.1159/000487706
Descripción
Sumario:We present a case of decreased vision due to the presence of retained Descemet membrane (DM) following Descemet stripping automated endothelial keratoplasty (DSAEK) and penetrating keratoplasty (PKP). A 78-year-old male presented postoperatively from PKP after previous failed DSAEK with retained DM. We present a unique technique for combined surgical resection using bimanual vitrectomy and forceps excision assisted by triamcinolone acetonide for membrane visualization. Histopathological evaluation confirmed incomplete DM removal during the PKP. With surgical excision, there was an improvement in best spectacle-corrected visual acuity from 20/80 to 20/30.

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