Spontaneous Reattachment of a Posteriorly Dislocated Endothelial Graft: A Case Report

A thirty-year-old Chinese man with a history of severe trauma to his right eye, with secondary sectoral aniridia and multiple operations including intraocular lens insertion more than fifteen years ago, underwent an uneventful Descemet's Stripping Automated Endothelial Keratoplasty (DSAEK) for...

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Main Authors: Ka Wai Kam, Alvin L. Young
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Transplantation
Online Access:http://dx.doi.org/10.1155/2013/631702
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author Ka Wai Kam
Alvin L. Young
author_facet Ka Wai Kam
Alvin L. Young
author_sort Ka Wai Kam
collection DOAJ
description A thirty-year-old Chinese man with a history of severe trauma to his right eye, with secondary sectoral aniridia and multiple operations including intraocular lens insertion more than fifteen years ago, underwent an uneventful Descemet's Stripping Automated Endothelial Keratoplasty (DSAEK) for his pseudophakic bullous keratopathy in a tertiary hospital in Hong Kong. The nature of his previous operations was unknown to the surgeon at the time of transplant. On postoperative day one, the graft was not present in the anterior chamber. Fundal view was limited because of corneal oedema. B-scan ultrasonography could not detect any definite presence of a donor button in the posterior segment as gas was present in the vitreous cavity. The patient was instructed to lie prone full time, and on postoperative day three, the graft was found to be reattached to the stroma with spontaneous resolution of corneal oedema, indicating restoration of pump function of endothelium graft. This is the first case of spontaneous reattachment of a posteriorly dislocated endothelial graft without surgical intervention or abandonment of the grafted endothelial button.
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spelling doaj-art-fd9438e7f4504a66b058a12d176ff5602025-02-03T01:27:45ZengWileyCase Reports in Transplantation2090-69432090-69512013-01-01201310.1155/2013/631702631702Spontaneous Reattachment of a Posteriorly Dislocated Endothelial Graft: A Case ReportKa Wai Kam0Alvin L. Young1Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong KongDepartment of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong KongA thirty-year-old Chinese man with a history of severe trauma to his right eye, with secondary sectoral aniridia and multiple operations including intraocular lens insertion more than fifteen years ago, underwent an uneventful Descemet's Stripping Automated Endothelial Keratoplasty (DSAEK) for his pseudophakic bullous keratopathy in a tertiary hospital in Hong Kong. The nature of his previous operations was unknown to the surgeon at the time of transplant. On postoperative day one, the graft was not present in the anterior chamber. Fundal view was limited because of corneal oedema. B-scan ultrasonography could not detect any definite presence of a donor button in the posterior segment as gas was present in the vitreous cavity. The patient was instructed to lie prone full time, and on postoperative day three, the graft was found to be reattached to the stroma with spontaneous resolution of corneal oedema, indicating restoration of pump function of endothelium graft. This is the first case of spontaneous reattachment of a posteriorly dislocated endothelial graft without surgical intervention or abandonment of the grafted endothelial button.http://dx.doi.org/10.1155/2013/631702
spellingShingle Ka Wai Kam
Alvin L. Young
Spontaneous Reattachment of a Posteriorly Dislocated Endothelial Graft: A Case Report
Case Reports in Transplantation
title Spontaneous Reattachment of a Posteriorly Dislocated Endothelial Graft: A Case Report
title_full Spontaneous Reattachment of a Posteriorly Dislocated Endothelial Graft: A Case Report
title_fullStr Spontaneous Reattachment of a Posteriorly Dislocated Endothelial Graft: A Case Report
title_full_unstemmed Spontaneous Reattachment of a Posteriorly Dislocated Endothelial Graft: A Case Report
title_short Spontaneous Reattachment of a Posteriorly Dislocated Endothelial Graft: A Case Report
title_sort spontaneous reattachment of a posteriorly dislocated endothelial graft a case report
url http://dx.doi.org/10.1155/2013/631702
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