Resolution of Corneal Fibrosis After Descemet’s Stripping Automated Endothelial Keratoplasty: A Case Report

PURPOSE: To report the resolution of anterior corneal fibrosis after Descemet’s stripping automated endothelial keratoplasty (DSAEK), in a patient with chronic corneal edema and anterior stromal scarring. METHODS: A 63-year-old woman, with a history of Fuchs endothelial dystrophy, presented with inc...

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Detalles Bibliográficos
Autores principales: Zola, Marta, Kim, Jaeryung, Petrelli, Myrsini, Schmutz, Lydia, Hashemi, Kattayoon, Kymionis, George
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Healthcare 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7196097/
https://www.ncbi.nlm.nih.gov/pubmed/32144575
http://dx.doi.org/10.1007/s40123-020-00244-y
Descripción
Sumario:PURPOSE: To report the resolution of anterior corneal fibrosis after Descemet’s stripping automated endothelial keratoplasty (DSAEK), in a patient with chronic corneal edema and anterior stromal scarring. METHODS: A 63-year-old woman, with a history of Fuchs endothelial dystrophy, presented with increasing discomfort and gradual visual loss in her right eye. Clinical examination revealed long-standing bullous keratopathy accompanied by marked subepithelial fibrosis (SEF). Based on the low postoperative visual potential due to glaucomatous optic neuropathy, we decided to proceed with DSAEK. RESULTS: During the follow-up period, SEF was found to gradually resolve. Corneal clarity was restored and an improvement in visual acuity was observed up to 12 months after surgery. CONCLUSION: DSAEK alone may represent an effective therapeutic option for the restoration of impaired corneal clarity in patients with long-standing corneal edema and concomitant anterior subepithelial scarring.

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