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Spontaneous double anterior chamber following uneventful DALK for stromal corneal dystrophies

Poster Details

First Author: T.Bozkurt TURKEY

Co Author(s):    B. Acar   S. Acar           

Abstract Details

Purpose:

To report 4 cases of spontaneous double anterior chamber after uncomplicated deep anterior lamellar keratoplasty for the treatment of stromal corneal dystrophies.

Setting:

Haydarpasa Numune Training and Education Hospital, Eye Clinic

Methods:

Double anterior chamber (DAC) was diagnosed following deep anterior lamellar keratoplasty without any descemet membrane perforation in 4 cases. In all surgeries, the method of choice for DALK was Anwar’s Big Bubble technique. After 1st case (65 years old woman with granular dystrophy), we encountered DAC without any surgical record indicating intraoperative descemet membrane perforation and attributed the complication to unnoticed descemet membrane perforation during saturation. However, over time we have encountered similar situations following uneventful DALK (without any descemet membrane perforation) for treatment of stromal corneal dystrophies (additional 2 eyes with granular dystrophy and 1 eye with macular dystrophy. None of the patients’ surgical record or reviewed surgical videos revealed any complication that might be overlooked or went unnoticed.

Results:

This case series may show some particular details in terms of attachment of host endothelium and donor stroma after DALK for stromal corneal dystrophies. Some additional precautions such as prophylactic injection of air may be evaluated to avoid DAC and enhance attachment of donor cornea and host bed.

Conclusions:

-

Financial Disclosure:

NONE

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