Aim: To describe a new slit-lamp technique for draining interface fluid to manage complete donor disc detachments following Descemet’s stripping (automated) endothelial keratoplasty (DSEK/DSAEK).
Methods: Interventional case series. Five DSEK/DSAEK patients presented on the first postoperative day with complete detachment of the donor lenticule. Slit-lamp biomicroscopy showed interface fluid preventing attachment of the donor disc to the host stromal bed. A new slit-lamp technique is described to drain the interface fluid. This technique involved completely filling the anterior chamber with an air bubble using a 30-gauge needle on a 3 ml syringe. Following this, a 0.12 forceps was used to open the inferior mid-peripheral corneal drainage slit to drain the interface fluid.
Results: This technique was successful in draining the interface fluid in all five patients, leading to immediate complete reattachment of the donor disc.
Conclusion: Donor disc detachments following DSEK/DSAEK can be successfully managed by this slit-lamp technique of draining the interface fluid.
Statistics from Altmetric.com
Competing interests: None declared.
best-corrected visual acuity
deep lamellar endothelial keratoplasty
Descemet’s stripping automated endothelial keratoplasty
Descemet’s stripping endothelial keratoplasty
ophthalmic viscosurgical device
posterior lamellar keratoplasty
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.