RESEARCH ARTICLE


Subconjunctival Air Leakage After Descemet's Stripping Automated Endothelial Keratoplasty(DSAEK) in a Post-Trabeculectomy Eye



Takeshi Ide, Sonia H Yoo* , Theodore Leng , Terrence P O’Brien
Bascom Palmer Eye Institute, University of Miami, Miami, FL, USA


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© Ide et al.; Licensee Bentham Open.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution License (http: //creativecommons.org/licenses/bync/3.0/), which permits unrestrictive use, distribution, and reproduction in any medium, provided the original work is properly cited.

* Address correspondence to this author at the Bascom Palmer Eye Institute, 900 NW 17th Street, Miami, FL 33136, USA; Tel: +1 305 326 6322; Fax: +1 305 326 6337; E-mail: syoo@med.miami.edu


Abstract

Purpose: To report a case of subconjunctival air leakage from the anterior chamber (AC) into a trabeculectomy bleb after Descemet's stripping automated endothelial keratoplasty (DSAEK).

Methods: An 89 year-old woman with a previous history of primary open angle glaucoma in her left eye and previous trabeculectomy with mitomycin C had DSAEK on the patient’s left eye in order to treat her endothelial disease. During the DSAEK procedure, air was injected into the AC to aid in graft adherence.

Results: The day after the surgery, subconjunctival air leakage from the AC into a trabeculectomy bleb was observed.

Conclusion: Although our patient did not have any complications from this leak, there exists the potential for hypotony, bleb-related infections, and dislocations of the DSAEK graft. Given the potential consequences, these patients should be monitored closely.