Abstract
This report describes the macroperforation of descemet's membrane (DM) during irrigation of the interface following successful removal of stromal tissue in big bubble (BB) deep anterior lamellar keratoplasty (DALK). A 42-year-old woman with keratoconus underwent a BB DALK procedure. After successful formation of Type 2 bubble and removal of stromal tissue, interface irrigation was performed to remove residual viscoelastic. This led to a macroperforation of DM, and the case was converted to penetrating keratoplasty. To the best of our knowledge, this is the first report of such a complication in the literature. Recognition of a 2 bubble formation during pneumodissection should alert the surgeon to a high risk of DM rupture. We advise against the removal of DM from the donor in such cases as an added measure of safety.
Keywords
Publication details
- DOI
- 10.4103/ojo.ojo_66_2016
- Journal
- Oman Journal of Ophthalmology, 10(3), 241-243
- Publisher
- Medknow Publications
- Open access
- Gold open access
Cite this article
APA 7
Ziaei, M., & Ormonde, S. E. (2017). Descemet's membrane macroperforation during interface irrigation in big bubble deep anterior lamellar keratoplasty. Oman Journal of Ophthalmology, 10(3), 241-243. https://doi.org/10.4103/ojo.ojo_66_2016
MLA 9
Ziaei, Mohammed, and Susan E Ormonde. "Descemet's membrane macroperforation during interface irrigation in big bubble deep anterior lamellar keratoplasty." Oman Journal of Ophthalmology, vol. 10, no. 3, 2017, pp. 241-243. https://doi.org/10.4103/ojo.ojo_66_2016.
Chicago (author–date)
Ziaei, Mohammed, and Susan E Ormonde. 2017. "Descemet's membrane macroperforation during interface irrigation in big bubble deep anterior lamellar keratoplasty." Oman Journal of Ophthalmology 10 (3): 241-243. https://doi.org/10.4103/ojo.ojo_66_2016.
Harvard
Ziaei, M. and Ormonde, S. E. (2017) 'Descemet's membrane macroperforation during interface irrigation in big bubble deep anterior lamellar keratoplasty', Oman Journal of Ophthalmology, 10(3), pp. 241-243. doi:10.4103/ojo.ojo_66_2016.
Vancouver
Ziaei M, Ormonde SE. Descemet's membrane macroperforation during interface irrigation in big bubble deep anterior lamellar keratoplasty. Oman Journal of Ophthalmology. 2017;10(3):241-243. doi:10.4103/ojo.ojo_66_2016
IEEE
M. Ziaei, and S. E. Ormonde, "Descemet's membrane macroperforation during interface irrigation in big bubble deep anterior lamellar keratoplasty," Oman Journal of Ophthalmology, vol. 10, no. 3, pp. 241-243, 2017, doi: 10.4103/ojo.ojo_66_2016.