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
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author Tyring, Ariel
Chang, Oliver
Jung, Hoon
author_facet Tyring, Ariel
Chang, Oliver
Jung, Hoon
author_sort Tyring, Ariel
collection PubMed
description 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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spelling pubmed-59031062018-04-20 Triamcinolone Acetonide-Assisted Descemetectomy for Retained Descemet Membrane Tyring, Ariel Chang, Oliver Jung, Hoon Case Rep Ophthalmol Case Report 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. S. Karger AG 2018-03-22 /pmc/articles/PMC5903106/ /pubmed/29681841 http://dx.doi.org/10.1159/000487706 Text en Copyright © 2018 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/4.0/ This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Case Report
Tyring, Ariel
Chang, Oliver
Jung, Hoon
Triamcinolone Acetonide-Assisted Descemetectomy for Retained Descemet Membrane
title Triamcinolone Acetonide-Assisted Descemetectomy for Retained Descemet Membrane
title_full Triamcinolone Acetonide-Assisted Descemetectomy for Retained Descemet Membrane
title_fullStr Triamcinolone Acetonide-Assisted Descemetectomy for Retained Descemet Membrane
title_full_unstemmed Triamcinolone Acetonide-Assisted Descemetectomy for Retained Descemet Membrane
title_short Triamcinolone Acetonide-Assisted Descemetectomy for Retained Descemet Membrane
title_sort triamcinolone acetonide-assisted descemetectomy for retained descemet membrane
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5903106/
https://www.ncbi.nlm.nih.gov/pubmed/29681841
http://dx.doi.org/10.1159/000487706
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AT changoliver triamcinoloneacetonideassisteddescemetectomyforretaineddescemetmembrane
AT junghoon triamcinoloneacetonideassisteddescemetectomyforretaineddescemetmembrane

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