J Cataract Refract Surg. 2009 Jan;35(1):193-6.

Epithelial downgrowth after Descemet-stripping automated endothelial keratoplasty.

Phillips PM, Terry MA, Kaufman SC, Chen ES.

Source

Devers Eye Institute, 1040 Northwest 22nd Avenue, Portland, Oregon 97210, USA. paulphillipsmd@gmail.com

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/mm(2) 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 treatment in this patient.

PMID:: 19101445; [PubMed - indexed for MEDLINE]

Publication Types, MeSH Terms

Publication Types

MeSH Terms

LinkOut - more resources

Full Text Sources

Other Literature Sources

Labome Researcher Resource - ExactAntigen/Labome

Medical

Supplemental Content

Save items

Related citations in PubMed

Epithelial downgrowth after descemet stripping automated endothelial keratoplasty. [Cornea. 2009]
Epithelial downgrowth after descemet stripping automated endothelial keratoplasty.
Prasher P, Muftuoglu O, Hsiao ML, Bowman RW, Hogan RN, Mootha VV. Cornea. 2009 Jul; 28(6):708-11.
Primary graft failure after Descemet-stripping automated endothelial keratoplasty: clinico-pathological study. [Cornea. 2008]
Primary graft failure after Descemet-stripping automated endothelial keratoplasty: clinico-pathological study.
Mehta JS, Chua J, Poh R, Beuerman RW, Tan D. Cornea. 2008 Jul; 27(6):722-6.
Late detachment of donor graft after Descemet stripping automated endothelial keratoplasty. [J Cataract Refract Surg. 2008]
Late detachment of donor graft after Descemet stripping automated endothelial keratoplasty.
Busin M, Bhatt PR. J Cataract Refract Surg. 2008 Jan; 34(1):159-60.
Review [Descemet's stripping with automated endothelial keratoplasty (DSAEK)]. [Ophthalmologe. 2008]
Review [Descemet's stripping with automated endothelial keratoplasty (DSAEK)].
Cursiefen C, Kruse FE. Ophthalmologe. 2008 Feb; 105(2):183-90, 192.
Review What DSAEK is going on? An alternative to penetrating keratoplasty for endothelial dysfunction. [Optometry. 2009]
Review What DSAEK is going on? An alternative to penetrating keratoplasty for endothelial dysfunction.
Mau K. Optometry. 2009 Sep; 80(9):513-23.

See reviews... See all...

Recent activity

Clear Turn Off Turn On

Epithelial downgrowth after Descemet-stripping automated endothelial keratoplast...
Epithelial downgrowth after Descemet-stripping automated endothelial keratoplasty.
J Cataract Refract Surg. 2009 Jan ;35(1):193-6.

PubMed
More is not always better: intensive glycemic control in type 2 diabetes.
More is not always better: intensive glycemic control in type 2 diabetes.
Am J Kidney Dis. 2009 Jan ;53(1):12-5.

PubMed
De testimonio: on the evidence for decisions about the use of therapeutic interv...
De testimonio: on the evidence for decisions about the use of therapeutic interventions.
Lancet. 2008 Dec 20 ;372(9656):2152-61.

PubMed
Call for papers: surgical research--Act 2, answers?
Call for papers: surgical research--Act 2, answers?
Lancet. 2008 Dec 20 ;372(9656):2097-8.

PubMed
Transapical aortic valve implantation: step by step.
Transapical aortic valve implantation: step by step.
Ann Thorac Surg. 2009 Jan ;87(1):276-83.

PubMed

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

PubMed

Result Filters

Display Settings:

Send to: