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KMID : 0360220210620050702
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Journal of the Korean Ophthalmological Society
2021 Volume.62 No. 5 p.702 ~ p.709
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Repeat Descemet Membrane Endothelial Keratoplasty after Descemet Membrane Endothelial Keratoplasty Graft Failure
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Kim Gee-Hyun
Ha Min-Ji
Chang Dong-Jin
Whang Woong-Joo
Byun Yong-Soo
Hwang Hyung-Bin
Na Kyung-Sun
Rho Chang-Rae
Lee Hyun-Soo
Chung So-Hyang
Kim Eun-Chul
Cho Yang-Kyung
Kim Hyun-Seung
Cho Yang-Kyung
Cho Yang-Kyung
Kim Hyun-Seung
Kim Man-Soo
Hwang Ho-Sik
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Abstract
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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.
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KEYWORD
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Descemet membrane endothelial keratoplasty, Fuchs’ endothelial dystrophy, Graft failure, Repeat Descemet membrane endothelial keratoplasty
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