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 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.

scholarly journals Spontaneously Reattached Retinal Detachment With Macular Hole – a Case Report

2021 ◽  
Author(s):  
Debdulal Chakraborty ◽  
Dipankar Das ◽  
Begum Sabiha Mashuda Khanam
Keyword(s):  
Case Report ◽  
Retinal Detachment ◽  
Macular Hole ◽  
Rhegmatogenous Retinal Detachment ◽  
Scientific Literature ◽  
Internal Limiting Membrane ◽  
Type I ◽  
Rare Presentation ◽  
Internal Limiting Membrane Peeling ◽  
Visual Improvement

Abstract Spontaneous reattachment of rhegmatogenous retinal detachment (SRRRD) is a rare presentation. A macular hole coexisting in a patient with a SRRRD is rarer still. The authors describe a case of SRRRD with a macular hole presenting with decreased vision which has never been described before in scientific literature. The patient underwent vitrectomy with internal limiting membrane peeling and gas tamponade, leading to type I closure of the macular hole and subsequent visual improvement.

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