Successful DMEK After Intraoperative Graft Inversion. Issue 1 (January 2015)

• Record Type: Journal Article
• Authors: Yu, Charles Q.; Ta, Christopher N.; Terry, Mark A.; Lin, Charles C.
• Is Part Of: Cornea. Volume 34:Issue 1(2015)
• Publication Date: 2015-01
• Subjects: DMEK -- endothelial keratoplasty -- endothelial cell -- graft inversion -- Fuchs corneal dystrophy; Cornea -- Periodicals; Cornea -- Periodicals; Cornée -- Périodiques; 617.719
• DOI: 10.1097/ICO.0000000000000311
• Languages: English
• ISSNs: 0277-3740

Abstract

Abstract : Purpose: Hardiness of a Descemet membrane endothelial keratoplasty (DMEK) graft is not well established. The aim of this study was to report a case of graft survival after intraoperative inversion. Methods: We describe a case of a 76-year-old man with Fuchs corneal dystrophy who underwent DMEK in the left eye. After deployment of the graft and a 15-minute sulfur hexafluoride gas fill, the graft was noted to be inverted. The graft was then reoriented and properly positioned. Results: Because of progressive graft detachment, rebubble was required at 2 weeks after surgery. At 2 months after surgery, the graft was clear and fully adherent. Specular microscopy revealed 27.9% endothelial cell loss of the donor cornea. Conclusions: Despite intraoperative inversion, this DMEK graft remained viable without excessive endothelial cell loss.