Abstract

Volume.121 Number.10

Original article : Short report

A Case of Descemet Membrane Detachment 10 Years after Penetrating Keratoplasty for Keratoconus
Kanae Kayukawa1,2, Koji Kitazawa1,2,3, Koichi Wakimasu1,2, Toshihide Yamasaki1,2, Chie Sotozono2, Shigeru Kinoshita3
1 Baptist Eye Institute
2 Department of Ophthalmology, Kyoto Prefectural University of Medicine
3 Department of Frontier Medical Science and Technology for Ophthalmology, Kyoto Prefectural University of Medicine

Background: Long-term postoperative outcome of penetrating keratoplasty (PKP) for keratoconus is favorable. Here we report a case of Descemet membrane detachment 10 years after PKP for keratoconus.
Case: A patient who had undergone PKP for keratoconus 10 years ago presented with acute corneal edema. Anterior segment optical coherence tomography examination revealed complete detachment of the donor corneal Descemet membrane. Treatment involved injection of air into the anterior chamber. On the following day after the treatment, the Descemet membrane was observed to be successfully reattached.
Conclusion: We encountered a case of Descemet membrane detachment possibly due to progression of keratoconus 10 years after PKP, which was successfully treated with air injection.
Nippon Ganka Gakkai Zasshi (J Jpn Ophthalmol Soc) 121:768-771, 2017.

Key words
Descemet membrane detachment, Air injection into the anterior chamber, Keratoconus, Penetrating keratoplasty
Reprint requests to
Kanae Kayukawa, M.D. Baptist Eye Institute. 12 Kamiikeda-cho, Kitashirakawa, Sakyo-ku, Kyoto 606-8287, Japan