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KMID : 0360220210620060848
Journal of the Korean Ophthalmological Society
2021 Volume.62 No. 6 p.848 ~ p.854
Descemet Membrane Endothelial Keratoplasty after Penetrating Keratoplasty Graft Failure
Son Woo-Young

Ha Min-Ji
Whang Woong-Joo
Byun Yong-Soo
Hwang Hyung-Bin
Na Kyung-Sun
Rho Chang-Rae
Lee Hyun-Soo
Chung So-Hyang
Kim Eun-Chul
Kim Eun-Chul
Cho Yang-Kyung
Kim Hyun-Seung
Hwang Ho-Sik
Abstract
Purpose: To report a case of a successful secondary Descemet membrane endothelial keratoplasty in failed penetrating keratoplasty.

Case summary: A 46-year-old male with keratoconus in both of his eyes underwent penetrating keratoplasty in his right eye 30 years ago and in his left eye 14 years ago. From one and a half year ago, the patient¡¯s visual acuity decreased in his left eye due to graft failure. For treatment, secondary Descemet membrane endothelial keratoplasty was performed. Partial detachment of Descemet membrane was observed at 13 days after the operation, and an additional air injection was performed. At 8 months after the operation, the patient¡¯s uncorrected visual acuity improved to 0.5 and the cornea maintained its clearance without rejection.

Conclusions: Secondary Descemet membrane endothelial keratoplasty was successfully performed in a patient with failed penetrating keratoplasty.
KEYWORD
Descemet membrane endothelial keratoplasty, Graft failure, Penetrating keratoplasty
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