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“Separate the Wheat from the Chaff” – Descemet's stripping endothelial keratoplasty graft failure due to accidental implantation of full-thickness precut tissue
Author(s) -
Arjun Srirampur,
Tarannum Mansoori,
Pasyanthi Balijepalli
Publication year - 2021
Publication title -
middle east african journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.357
H-Index - 25
eISSN - 0975-1599
pISSN - 0974-9233
DOI - 10.4103/meajo.meajo_240_19
Subject(s) - medicine , surgery , stripping (fiber) , accidental , cornea , ophthalmology , materials science , composite material , physics , acoustics
We present an interesting case of failed Descemet's stripping endothelial keratoplasty (DSEK) graft, due to accidental implantation of a full-thickness precut tissue. A repeat DSEK was planned, and during the surgery along with the DSEK graft, an extra thick corneal tissue was also retrieved. Careful evaluation of both the explanted tissues revealed that the primary surgeon failed to separate a precut DSEK graft and implanted the entire full-thickness tissue. After the repeat DSEK, there was improvement in corneal edema and visual acuity.

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