Work

Delayed spontaneous resolution of a double anterior chamber following deep anterior lamellar keratoplasty (DALK)

Year: 2024

Type: article

Abstract: Background This study reports a rare case of delayed spontaneous resolution of double anterior chambers (AC) resulting from non-rhegmatogenous Descemet membrane detachment (DMD) after deep anterior lamellar keratoplasty (DALK). Currently, management guidelines for this condition have not been established. Case presentation A 65-year-old woman with lattice corneal dystrophy underwent uncomplicated DALK, during which an unrecognized type 2 big bubble was present. On postoperative day 1, a total DMD was observed, and descemetopexy was attempted. After an unsuccessful air-filled descemetopexy, we opted for observation without further intervention. Spontaneous reattachment of Descemet membrane with a clear cornea was achieved at 3 months postoperatively. The endothelial cell count was 2,165 cells/ mm2. Conclusions The spontaneous resolution of double AC in patients with DMD without visible perforation after DALK suggests that a “wait and observe” approach can be a reasonable and effective management strategy.

Source: BMC Ophthalmology

DOI: 10.1186/s12886-024-03819-6

Authors: Poramaporn Luangprasert, Passara Jongkhajornpong, Kaevalin Lekhanont, Manachai Nonpassopon, Varintorn Chuckpaiwong

Institutions: Mahidol University, Ramathibodi Hospital

Language: English

Topic: Corneal surgery and disorders

Subfield: Radiology, Nuclear Medicine and Imaging

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,890