Descemet’s membrane endothelial keratoplasty for primary graft failure after penetrating keratoplasty

ABSTRACT Primary graft failure (PGF) is a known complication following penetrating keratoplasty (PKP). The usual approach to treat this complication is to repeat a penetrating keratoplasty. Here, we report a case of Descemet’s membrane endothelial keratoplasty (DMEK) for the treatment of PGF after PKP. A patient that underwent PKP, developed PGF with persistent graft edema and very poor visual acuity despite aggressive steroid use and a proof anti-viral treatment. Three months after the initial surgery, a DMEK was performed under the PKP graft. There was progressive early corneal clearing and, by the end of the first month, the patient already had no corneal edema. Uncorrected visual acuity (UCVA) improved to 20/40 and best corrected visual acuity (BCVA) to 20/20. DMEK may be an alternative to a second PKP for the treatment of PGF. This technique is a less invasive option when compared to the standard PKP procedure.

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Bibliographic Details
Main Authors: Trindade,Bruno Lovaglio Cançado, Oliveira,Fellype Borges de, Crepaldi,Letícia Arriel
Format: Digital revista
Language:English
Published: Conselho Brasileiro de Oftalmologia 2022
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492022005011206
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