scholarly journals Exophiala Keratitis following Descemet Stripping Automated Endothelial Keratoplasty

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Ana Marta ◽  
Paula Costa ◽  
Virgínia Lopes ◽  
Miguel Mesquita Neves ◽  
Miguel Gomes ◽  
...  
Keyword(s):  
Anterior Segment ◽  
Fungal Keratitis ◽  
Bullous Keratopathy ◽  
Endothelial Keratoplasty ◽  
Slit Lamp ◽  
Direct Examination ◽  
First Case ◽  
Pseudophakic Bullous Keratopathy ◽  
Positive Direct ◽  
Corneal Button

Purpose. To report a case with Exophiala spp. keratitis in a Portuguese patient. Methods. A case report with deep corneal brown-pigmented infiltrates that developed 2 months after a Descemet Stripping Automated Endothelial Keratoplasty (DSAEK) for pseudophakic bullous keratopathy. Results. Diagnosis was established by positive direct examination and cultures from the surgically obtained corneal button. Slit-lamp images and anterior segment optical coherence tomography (AS-OCT) scans were obtained. Conclusion. This is the first described case of fungal keratitis caused by Exophiala spp. in Portugal and, to our knowledge, the first case following DSAEK in the literature.

scholarly journals Outcomes of Resident-Performed Descemet's Stripping Automated Endothelial Keratoplasty

2017 ◽  
Vol 09 (01) ◽  
pp. e26-e31
Author(s):  
Tatyana Beketova ◽  
Margaret Pfeiffer ◽  
Alice Chuang ◽  
Gene Kim
Keyword(s):  
Graft Failure ◽  
Glaucoma Patient ◽  
Case Series ◽  
Glaucoma Surgery ◽  
Bullous Keratopathy ◽  
Endothelial Keratoplasty ◽  
Ocular Surgery ◽  
Pseudophakic Bullous Keratopathy ◽  
Primary Graft Failure

Purpose This article aimed to evaluate outcomes of resident-performed Descemet's stripping automated endothelial keratoplasty (DSAEK). Methods This is a case series of patients who underwent DSAEK performed by PGY-4 ophthalmology residents at Lyndon B. Johnson Hospital from January 2013 to August 2016 staffed by a fellowship-trained cornea specialist. Patients with less than 1 month of follow-up were excluded. Demographics, baseline ocular characteristics, and intraoperative data were recorded. Vision and graft status were recorded at 1 week, 1 month, 3 months, and the last follow-up visits. Surgical failure was defined as graft detachment within 1 week of surgery and/or primary graft failure within 3 months of surgery. Results Eighteen eyes of 18 patients who followed up for 14.9 months (±12.9) were included. Mean age of patients was 60.9 years (±13.2). Indications for DSAEK included pseudophakic bullous keratopathy (10), Fuchs endothelial dystrophy (4), and other causes of endothelial dysfunction (4). Eleven (61%) eyes had prior ocular surgery, and 7 (39%) had prior glaucoma surgery. There were no postoperative graft detachments and two (11%) primary graft failures. There was one primary graft failure in a glaucoma patient. Of the 16 graft successes, logMAR visual acuity improved by 0.46 logMAR (±0.73) from baseline. Conclusion With appropriate staffing by an experienced cornea surgeon, DSAEK with residents as the primary surgeons is a safe and effective procedure with reasonably good outcomes.

Was it thickened Dua’s layer? Clinical, tomographical, and histopathological correlation: A case report

2020 ◽  
pp. 112067212097427
Author(s):  
Vijay K Sharma ◽  
Rajesh Sinha ◽  
Alok Sati ◽  
Manisha Agarwal
Keyword(s):  
Case Report ◽  
Cataract Surgery ◽  
Trypan Blue ◽  
Internal Limiting Membrane ◽  
Bullous Keratopathy ◽  
Endothelial Keratoplasty ◽  
Internal Limiting Membrane Peeling ◽  
Histopathological Correlation ◽  
Pseudophakic Bullous Keratopathy ◽  
Histopathological Evaluation

A 62-year-old female developed pseudophakic bullous keratopathy after cataract surgery and underwent Descemet stripping automated endothelial keratoplasty (DSAEK). Intraoperatively, a white opacified pre-Descemet’s layer was noticed after scoring and removal of trypan blue stained Descemet’s membrane (DM), and endothelium complex. It was removed using internal limiting membrane peeling forceps and sent for histopathological evaluation along with DM-endothelium complex and epithelium. Preoperative, intraoperative, and postoperative clinical, tomographical, and histopathological data confirmed thickened PDL or Dua’s layer. This is a rare encounter with scarred PDL or Dua’s layer during DSAEK surgery.

scholarly journals Toxic Anterior Segment Syndrome following Phacoemulsification Secondary to Overdose of Intracameral Gentamicin

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Yaran Koban ◽  
Selim Genc ◽  
Gorkem Bilgin ◽  
Halil Huseyin Cagatay ◽  
Metin Ekinci ◽  
...  
Keyword(s):  
Anterior Chamber ◽  
Corneal Endothelium ◽  
Penetrating Keratoplasty ◽  
Histopathological Examination ◽  
Anterior Segment ◽  
High Dose ◽  
Bullous Keratopathy ◽  
Corneal Incision ◽  
Toxic Anterior Segment Syndrome ◽  
Corneal Button

Objective. To report a case of toxic anterior segment syndrome (TASS) that was caused by inadvertent anterior chamber and cornea stromal injection with high dose gentamicin following cataract surgery.Methods. Case report.Results. We report a 72-year-old female patient who developed TASS that was caused by high dose gentamicin (20 mg/0.5 mL), which was inadvertently used during the formation of the anterior chamber and hydration of the corneal incision. Unlike previous cases, hyphema and hemorrhagic fibrinous reaction were seen in the anterior chamber. Despite treatment, bullous keratopathy developed and penetrating keratoplasty was performed. The excised corneal button was sent for histopathological examination.Conclusions. Subconjunctival gentamicin is highly toxic to the corneal endothelium and anterior chamber structures. Including it on the surgical table carries a potentially serious risk for contamination of the anterior chamber.

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