Delayed spontaneous resolution of a double anterior chamber following deep anterior lamellar keratoplasty (DALK)
Abstract Background This study reports a rare case of delayed spontaneous resolution of double anterior chambers (AC) resulting from non-rhegmatogenous Descemet membrane detachment (DMD) after deep anterior lamellar keratoplasty (DALK). Currently, management guidelines for this condition have not be...
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| Format: | Article |
| Language: | English |
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BMC
2024-12-01
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| Series: | BMC Ophthalmology |
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| Online Access: | https://doi.org/10.1186/s12886-024-03819-6 |
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| author | Poramaporn Luangprasert Passara Jongkhajornpong Kaevalin Lekhanont Manachai Nonpassopon Varintorn Chuckpaiwong |
| author_facet | Poramaporn Luangprasert Passara Jongkhajornpong Kaevalin Lekhanont Manachai Nonpassopon Varintorn Chuckpaiwong |
| author_sort | Poramaporn Luangprasert |
| collection | DOAJ |
| description | Abstract Background This study reports a rare case of delayed spontaneous resolution of double anterior chambers (AC) resulting from non-rhegmatogenous Descemet membrane detachment (DMD) after deep anterior lamellar keratoplasty (DALK). Currently, management guidelines for this condition have not been established. Case presentation A 65-year-old woman with lattice corneal dystrophy underwent uncomplicated DALK, during which an unrecognized type 2 big bubble was present. On postoperative day 1, a total DMD was observed, and descemetopexy was attempted. After an unsuccessful air-filled descemetopexy, we opted for observation without further intervention. Spontaneous reattachment of Descemet membrane with a clear cornea was achieved at 3 months postoperatively. The endothelial cell count was 2,165 cells/ mm2. Conclusions The spontaneous resolution of double AC in patients with DMD without visible perforation after DALK suggests that a “wait and observe” approach can be a reasonable and effective management strategy. |
| format | Article |
| id | doaj-art-79d0a980bc094c869f744ccbfa2367a7 |
| institution | Kabale University |
| issn | 1471-2415 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj-art-79d0a980bc094c869f744ccbfa2367a72025-01-05T12:11:54ZengBMCBMC Ophthalmology1471-24152024-12-012411610.1186/s12886-024-03819-6Delayed spontaneous resolution of a double anterior chamber following deep anterior lamellar keratoplasty (DALK)Poramaporn Luangprasert0Passara Jongkhajornpong1Kaevalin Lekhanont2Manachai Nonpassopon3Varintorn Chuckpaiwong4Department of Ophthalmology, Faculty of Medicine Ramathibodi Hospital, Mahidol UniversityDepartment of Ophthalmology, Faculty of Medicine Ramathibodi Hospital, Mahidol UniversityDepartment of Ophthalmology, Faculty of Medicine Ramathibodi Hospital, Mahidol UniversityDepartment of Ophthalmology, Faculty of Medicine Ramathibodi Hospital, Mahidol UniversityDepartment of Ophthalmology, Faculty of Medicine Ramathibodi Hospital, Mahidol UniversityAbstract Background This study reports a rare case of delayed spontaneous resolution of double anterior chambers (AC) resulting from non-rhegmatogenous Descemet membrane detachment (DMD) after deep anterior lamellar keratoplasty (DALK). Currently, management guidelines for this condition have not been established. Case presentation A 65-year-old woman with lattice corneal dystrophy underwent uncomplicated DALK, during which an unrecognized type 2 big bubble was present. On postoperative day 1, a total DMD was observed, and descemetopexy was attempted. After an unsuccessful air-filled descemetopexy, we opted for observation without further intervention. Spontaneous reattachment of Descemet membrane with a clear cornea was achieved at 3 months postoperatively. The endothelial cell count was 2,165 cells/ mm2. Conclusions The spontaneous resolution of double AC in patients with DMD without visible perforation after DALK suggests that a “wait and observe” approach can be a reasonable and effective management strategy.https://doi.org/10.1186/s12886-024-03819-6Double anterior chambersDescemet membrane detachmentDeep anterior lamellar keratoplastyDescemetopexy |
| spellingShingle | Poramaporn Luangprasert Passara Jongkhajornpong Kaevalin Lekhanont Manachai Nonpassopon Varintorn Chuckpaiwong Delayed spontaneous resolution of a double anterior chamber following deep anterior lamellar keratoplasty (DALK) BMC Ophthalmology Double anterior chambers Descemet membrane detachment Deep anterior lamellar keratoplasty Descemetopexy |
| title | Delayed spontaneous resolution of a double anterior chamber following deep anterior lamellar keratoplasty (DALK) |
| title_full | Delayed spontaneous resolution of a double anterior chamber following deep anterior lamellar keratoplasty (DALK) |
| title_fullStr | Delayed spontaneous resolution of a double anterior chamber following deep anterior lamellar keratoplasty (DALK) |
| title_full_unstemmed | Delayed spontaneous resolution of a double anterior chamber following deep anterior lamellar keratoplasty (DALK) |
| title_short | Delayed spontaneous resolution of a double anterior chamber following deep anterior lamellar keratoplasty (DALK) |
| title_sort | delayed spontaneous resolution of a double anterior chamber following deep anterior lamellar keratoplasty dalk |
| topic | Double anterior chambers Descemet membrane detachment Deep anterior lamellar keratoplasty Descemetopexy |
| url | https://doi.org/10.1186/s12886-024-03819-6 |
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