Management of posteriorly dislocated endothelial keratoplasty donor lenticule.

摘要: PURPOSE The purpose of this study was to describe the management a keratoplasty lenticule adhering retina after intraoperative dislocation. METHODS We posterior dislocation donor during endothelial in 72-year-old woman with transscleraly sutured intraocular lens, previous pars plana vitrectomy, and posteriorly positioned Ahmed glaucoma tube shunt. retrieved through approach 2 weeks later, at which time it tightly adherent extramacular retina. Concurrent performed. RESULTS Six months retrieval dislocated repeat keratoplasty, retinal examination is stable new graft remains attached. CONCLUSION An iris defect, absence capsular support, history vitrectomy are all potential risk factors for migration lenticule. surgical view not limiting factor However, tight adherence required extensive peeling. To avoid more difficult repair scar formation, earlier would be preferable, especially if dealing macular location.