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
Identifiers and Pagination:Year: 2008
First Page: 1
Last Page: 2
Publisher ID: TOOPHTJ-3-1
Article History:Received Date: 4/11/2008
Revision Received Date: 21/11/2008
Acceptance Date: 21/12/2008
Electronic publication date: 9/1/2008
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.
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.