A Strange Dsaek Following Herpetic Keratitis
Published 2023 - 41st Congress of the ESCRS
Reference: PO0112 | Type: Case report | DOI: 10.82333/6e65-wa73
Authors: Daniele Rolle 1 , Mauro Fioretto* 2 , Andrea Grosso 1 , Andrea Colonna 1
1Ophthalmology ,Asl al ,Casale ,Italy, 2Ophthalmology ,ASL AL ,Casale ,Italy
Describe a strange "DSAEK"
Hospital based clinical case
A 58 yrs old male patient underwent a DALK 8 yrs ago in an other hospital for a leucoma due to herpetic keratitis. Patient referred a poor increase of bcva and a worst quality of vision.
No recurrent keratitis neither significant change of vision were reported in the last 8 yrs.
A significative wrinkling of the deep cornea was observed without other diseases of the eye.
A DSAEK was performed few days later. The remove of the endothelium didn’t show an increase of corneal transparency and the crumples were maintained exactly as before,so we decided to try to remove the deep layer of the cornea by a deeper incision by a Price hook and a 23g vitreoretinal surgical forceps. Deep layers were quite easily removed and a “normal” DSAEK was performed with a good restoration of corneal transparency. Six months after surgery bcva was 16/20
. In our opinion we suppose that 8 yrs ago a pre-descemetic DALK was performed because after a correct big-bubble tecnique it is not possible to remove the corneal deep layers by this surgical tecnique.