Inadvertent placement of a glaucoma tube into the graft-host interface of an eye with previous Descemet stripping automated endothelial keratoplasty.
Goshe Jeffrey M, Terry Mark A, Li Jennifer Y
AI Summary
A glaucoma tube was inadvertently placed into a DSAEK graft-host interface, causing morbidity. This highlights a rare but critical complication for glaucoma surgery in corneal transplant patients.
Abstract
Purpose
The aim of this study was to report the inadvertent insertion of a glaucoma tube into the graft-host interface in a patient with previous Descemet stripping automated endothelial keratoplasty (DSAEK).
Methods
This is a retrospective case report.
Results
A 56-year-old aniridic woman with a history of multiple failed penetrating keratoplasties (PKPs) and glaucoma underwent DSAEK under failed PKP of her left eye at our institution. After undergoing a subsequent glaucoma tube placement by an outside glaucoma specialist, the tube was identified in the DSAEK-PKP interface. The tube was successfully repositioned at the time of repeat PKP with placement of a Boston type I keratoprosthesis.
Conclusions
Inadvertent insertion of a glaucoma tube into the DSAEK interface may result in ocular morbidity in patients with previous DSAEK surgery.
MeSH Terms
Shields Classification
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