[[[ Purpose: ]]] To present the first reported case of Descemet membrane stripping endothelial keratoplasty (DSEK)-associated endophthalmitis with concave dislocation on slit-lamp optical coherence topography (SL-OCT). [[[ Methods: ]]] An 86-year-old man underwent DSEK for corneal decompensation secondary to prior surgery. On all postoperative visits, a slit-lamp examination and SL-OCT were performed. [[[ Results: ]]] On the first postoperative day, the lenticle was dislocated in a concave configuration as imaged with the SL-OCT. On the second postoperative day, the patient had eye pain, nausea, and increased intraocular pressure. On SL-OCT imaging, the concave configuration and fibrin stranding were imaged. With intraocular pressure lowering, the patient’s pain subsided, and he was scheduled for a lenticle refloat the following day. The next day, endophthalmitis was diagnosed secondary to exuberant purulent inflammation. At surgery, the lenticle was removed, cultures were obtained, and pars plana vitrectomy and intravitreal injections were administered. Intraoperative cultures were positive for heavy growth of Streptococcus pneumoniae. [[[ Conclusions: ]]] Endophthalmitis is a potential complication for any intraocular procedure including DSEK. SL-OCT imaging postoperatively may reveal concave lenticle configuration and subtle anterior chamber fibrin stranding may be early sign of endophthalmitis.
Endophthalmitis After Descemet Stripping Endothelial Keratoplasty With Concave-Oriented Dislocation on Slit-Lamp Optical Coherence Topography
슬릿 램프 광학 단층 촬영에서 오목하게 탈구된 데스메막 박리 내피 각막이식 후 안내염
[Category] 폐렴구균 감염증,
[Article Type] journal-article
[Source] pubmed
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