| CASE REPORT |
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| Year : 2017 | Volume
: 10
| Issue : 3 | Page : 241-243 |
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Descemet's membrane macroperforation during interface irrigation in big bubble deep anterior lamellar keratoplasty
Mohammed Ziaei, Susan E Ormonde
Department of Ophthalmology, New Zealand National Eye Centre, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand
Correspondence Address:
Mohammed Ziaei
Department of Ophthalmology, New Zealand National Eye Centre, University of Auckland, Auckland
New Zealand
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ojo.OJO_66_2016
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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. |
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