Repeat Descemet Membrane Endothelial Keratoplasty after Descemet Membrane Endothelial Keratoplasty Graft Failure
10.3341/jkos.2021.62.5.702
- Author:
Gee-Hyun KIM
1
;
Min Ji HA
;
Dong Jin CHANG
;
Woong Joo WHANG
;
Yong-Soo BYUN
;
Hyung Bin HWANG
;
Kyung Sun NA
;
Chang Rae RHO
;
Hyun Soo LEE
;
So Hyang CHUNG
;
Eun Chul KIM
;
Yang Kyung CHO
;
Hyun Seung KIM
;
Man Soo KIM
;
Ho Sik HWANG
Author Information
1. Department of Ophthalmology, College of Medicine, The Catholic University of Korea, Seoul, Korea
- Publication Type:Case Report
- From:Journal of the Korean Ophthalmological Society
2021;62(5):702-708
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Purpose:To report a case of secondary Descemet membrane endothelial keratoplasty (DMEK) for graft failure after primary DMEK.Case summary: A 47-year-old female underwent primary DMEK in her left eye with a diagnosis of Fuchs’ endothelial dystrophy. At 6 weeks later, corneal stromal edema with epithelial and subepithelial bullae was first observed. From that point on, the condition of the cornea and the visual acuity continued to degrade. After 7 months, a second DMEK procedure (i.e., a repeat DMEK) for graft failure was performed successfully without any complications. Since the second procedure, the cornea has been clear, and the best-corrected visual acuity has remained at 0.6 for 8 months.
Conclusions:To manage graft failure after primary DMEK, we performed a second DMEK procedure. The removal of the previous graft was easy, and there were no complications. Thus, repeat DMEK may be a feasible procedure.
