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.