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Neonate and infantile donor corneas are not normally used for penetrating transplantation because of their characteristics (steepness, flexibility, elasticity). The higher endothelial cell density of neonate donor presents a temptation to use these to perform Descemet membrane stripping endothelial keratoplasty (DESK) or Descemet stripping automated endothelial keratoplasty. We report here two cases of DSEK on pseudophakic bollous keratopathy with donor grafts from a full-term neonate.
A 65-year-old man complained of blurred vision in his right eye for 2 years. He had a history of extracapsular cataract extraction and posterior chamber intraocular lens implantation 18 years ago. Four years ago, the intraocular lens (IOL) became dislocated in the vitreous cavity because of trauma, and an anterior chamber IOL was inserted without taking out the original IOL.
His best-corrected visual acuity (BCVA) was HM/30 cm OD. Slit-lamp examination showed an oedematous cornea and an anterior-chamber IOL. A diagnosis of pseudophakic bullous keratopathy and anterior and dislocated posterior chamber intraocular lens was made. DSEK …
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