Posters

Posterior graft dislocation during Descemet's stripping endothelial keratoplasty (DSAEK) in an eye with congenital glaucoma

Poster Details

First Author: M.Liontiris GREECE

Co Author(s):    P. Papadakou   G. Saitakis   M. Papathanassiou              

Abstract Details

Purpose:

To present an unusual complication of graft dislocation into vitreous cavity during DSAEK.

Setting:

Cornea Clinic,2nd Ophthalmology Department, Attikon University Hospital, Athens, Greece

Methods:

A 63-year-old patient with a history of trabeculectomy with large peripheral iridectomy for congenital glaucoma in both eyes ,underwent a triple DSAEK procedure in the left eye (LE) due to dense cataract and bullous keratopathy. Patient had also undergone successfully a DSAEK procedure in his right eye one year ago.

Results:

Both phacoemulsification and posterior chamber intraocular lens (IOL) implantation were uneventful. During DSAEK procedure, trying to center the endothelial graft, graft had inadvertently dislocated into the vitreous cavity through the large iridectomy and the concomitant zonular dehiscence. Pars plana vitrectomy was performed the next day and the graft was successfully removed through the sclerostomies.

Conclusions:

Posterior graft dislocation is a rare complication during DSAEK. Risk factors are previously vitrectomized eyes, aphakia, aniridia or large iris defects as well as zonular defects. Prompt removal of the endothelial graft should always be tried as soon as possible to avoid proliferative responses which could result in tractional retinal detachment.

Financial Disclosure:

NONE