Graft Suturing for Lenticule Dislocation after Descemet Stripping Automated Endothelial Keratoplasty

Graft Suturing for Lenticule Dislocation after Descemet Stripping Automated Endothelial Keratoplasty

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Purpose: To report the mid-term outcomes of graft suturing in a patient with lenticule dislocation after Descemet stripping automated endothelial keratoplasty (DSAEK).Case Report: A 78-year old woman was found to have graft dislocation involving the nasal half of the ovs-02gt cornea after uneventful DSAEK.Graft repositioning, refilling the anterior chamber with air, and placement of four full-thickness 10/0 nylon sutures over the detached area were performed two weeks after the initial surgery.The sutures were removed 6 weeks later.Serial specular microscopy and anterior segment optical coherence tomography shades eq 07m were performed.

At 18 months, there was good lenticule apposition and a clear graft.Conclusion: Anchoring sutures seem to be effective for management of graft detachment following DSAEK.