Interface blood after descemet stripping automated endothelial keratoplasty

Artur J. Schmitt, Michael R. Feilmeier, Fernanda V. Piccoli, Takeshi Ide, Sonia H Yoo

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

The authors report a case of a Descemet stripping automated endothelial keratoplasty that was complicated by intraoperative bleeding from the iridotomy site. Slit-lamp examination on postoperative day 1 revealed significant amount of retained blood at the donor-recipient interface and a best-corrected visual acuity (BCVA) of 20/400. The patient was managed with periodic observation and a topical fluoroquinolone and 1% prednisolone. By postoperative month 8, the interface had cleared, and the BCVA improved to 20/50. The patient remained with a clear cornea and stable BCVA of 20/50 at her most recent 1-year postoperative follow-up examination. Performing an intraoperative peripheral iridotomy to reduce the risk of air-associated pupillary block introduces the risk of its inherent complications, including intraoperative bleeding, retained blood cells at the interface, and delayed visual recovery. In this case, periodic observation and conservative management with topical steroids resulted in the resolution of the interface debris, associated keratitis, and improved postoperative visual acuity.

Original languageEnglish
Pages (from-to)815-817
Number of pages3
JournalCornea
Volume30
Issue number7
DOIs
StatePublished - Jul 1 2011

Fingerprint

Descemet Stripping Endothelial Keratoplasty
Visual Acuity
Observation
Hemorrhage
Keratitis
Fluoroquinolones
Intraoperative Complications
Prednisolone
Blood Donors
Cornea
Blood Cells
Steroids
Air

Keywords

  • bleeding
  • descemet stripping automated endothelial keratoplasty (DSAEK)
  • hyphema
  • iridotomy

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Interface blood after descemet stripping automated endothelial keratoplasty. / Schmitt, Artur J.; Feilmeier, Michael R.; Piccoli, Fernanda V.; Ide, Takeshi; Yoo, Sonia H.

In: Cornea, Vol. 30, No. 7, 01.07.2011, p. 815-817.

Research output: Contribution to journalArticle

Schmitt, Artur J. ; Feilmeier, Michael R. ; Piccoli, Fernanda V. ; Ide, Takeshi ; Yoo, Sonia H. / Interface blood after descemet stripping automated endothelial keratoplasty. In: Cornea. 2011 ; Vol. 30, No. 7. pp. 815-817.
@article{ae6585653f984f02bb39bf6b2971e1b9,
title = "Interface blood after descemet stripping automated endothelial keratoplasty",
abstract = "The authors report a case of a Descemet stripping automated endothelial keratoplasty that was complicated by intraoperative bleeding from the iridotomy site. Slit-lamp examination on postoperative day 1 revealed significant amount of retained blood at the donor-recipient interface and a best-corrected visual acuity (BCVA) of 20/400. The patient was managed with periodic observation and a topical fluoroquinolone and 1{\%} prednisolone. By postoperative month 8, the interface had cleared, and the BCVA improved to 20/50. The patient remained with a clear cornea and stable BCVA of 20/50 at her most recent 1-year postoperative follow-up examination. Performing an intraoperative peripheral iridotomy to reduce the risk of air-associated pupillary block introduces the risk of its inherent complications, including intraoperative bleeding, retained blood cells at the interface, and delayed visual recovery. In this case, periodic observation and conservative management with topical steroids resulted in the resolution of the interface debris, associated keratitis, and improved postoperative visual acuity.",
keywords = "bleeding, descemet stripping automated endothelial keratoplasty (DSAEK), hyphema, iridotomy",
author = "Schmitt, {Artur J.} and Feilmeier, {Michael R.} and Piccoli, {Fernanda V.} and Takeshi Ide and Yoo, {Sonia H}",
year = "2011",
month = "7",
day = "1",
doi = "10.1097/ICO.0b013e3182031fec",
language = "English",
volume = "30",
pages = "815--817",
journal = "Cornea",
issn = "0277-3740",
publisher = "Lippincott Williams and Wilkins",
number = "7",

}

TY - JOUR

T1 - Interface blood after descemet stripping automated endothelial keratoplasty

AU - Schmitt, Artur J.

AU - Feilmeier, Michael R.

AU - Piccoli, Fernanda V.

AU - Ide, Takeshi

AU - Yoo, Sonia H

PY - 2011/7/1

Y1 - 2011/7/1

N2 - The authors report a case of a Descemet stripping automated endothelial keratoplasty that was complicated by intraoperative bleeding from the iridotomy site. Slit-lamp examination on postoperative day 1 revealed significant amount of retained blood at the donor-recipient interface and a best-corrected visual acuity (BCVA) of 20/400. The patient was managed with periodic observation and a topical fluoroquinolone and 1% prednisolone. By postoperative month 8, the interface had cleared, and the BCVA improved to 20/50. The patient remained with a clear cornea and stable BCVA of 20/50 at her most recent 1-year postoperative follow-up examination. Performing an intraoperative peripheral iridotomy to reduce the risk of air-associated pupillary block introduces the risk of its inherent complications, including intraoperative bleeding, retained blood cells at the interface, and delayed visual recovery. In this case, periodic observation and conservative management with topical steroids resulted in the resolution of the interface debris, associated keratitis, and improved postoperative visual acuity.

AB - The authors report a case of a Descemet stripping automated endothelial keratoplasty that was complicated by intraoperative bleeding from the iridotomy site. Slit-lamp examination on postoperative day 1 revealed significant amount of retained blood at the donor-recipient interface and a best-corrected visual acuity (BCVA) of 20/400. The patient was managed with periodic observation and a topical fluoroquinolone and 1% prednisolone. By postoperative month 8, the interface had cleared, and the BCVA improved to 20/50. The patient remained with a clear cornea and stable BCVA of 20/50 at her most recent 1-year postoperative follow-up examination. Performing an intraoperative peripheral iridotomy to reduce the risk of air-associated pupillary block introduces the risk of its inherent complications, including intraoperative bleeding, retained blood cells at the interface, and delayed visual recovery. In this case, periodic observation and conservative management with topical steroids resulted in the resolution of the interface debris, associated keratitis, and improved postoperative visual acuity.

KW - bleeding

KW - descemet stripping automated endothelial keratoplasty (DSAEK)

KW - hyphema

KW - iridotomy

UR - http://www.scopus.com/inward/record.url?scp=79959250176&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79959250176&partnerID=8YFLogxK

U2 - 10.1097/ICO.0b013e3182031fec

DO - 10.1097/ICO.0b013e3182031fec

M3 - Article

C2 - 21282988

AN - SCOPUS:79959250176

VL - 30

SP - 815

EP - 817

JO - Cornea

JF - Cornea

SN - 0277-3740

IS - 7

ER -