Epithelial downgrowth after Descemet-stripping automated endothelial keratoplasty

Paul M. Phillips, Mark A. Terry, Stephen C. Kaufman, Edwin S. Chen

Research output: Contribution to journalArticlepeer-review

28 Scopus citations

Abstract

A 66-year-old man presented with decreased vision and corneal edema after 2 failed Descemet-stripping automated endothelial keratoplasty (DSAEK) graft procedures in the left eye. An uneventful third DSAEK procedure combined with anterior vitrectomy through the previous limbal wound was performed. Postoperative recovery was uneventful. Histopathology of the excised failed graft revealed conjunctival epithelium on the posterior surface of the tissue. At 1 year, the endothelial cell count was 1997 cells/mm2 and the uncorrected visual acuity was 20/20-2. At 18 months, the graft remained clear with no signs of epithelial downgrowth. Clinicians should be aware that epithelial downgrowth can occur following DSAEK surgery. Fortunately, excision of the prior DSAEK graft with removal of the active epithelial membrane appears to have been a successful treament in this patient.

Original languageEnglish (US)
Pages (from-to)193-196
Number of pages4
JournalJournal of cataract and refractive surgery
Volume35
Issue number1
DOIs
StatePublished - Jan 2009
Externally publishedYes

Bibliographical note

Funding Information:
Supported in part by an unrestricted grant from Research to Prevent Blindness, New York, New York, USA.

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