Delayed spontaneous resolution of a double anterior chamber following deep anterior lamellar keratoplasty (DALK)
Issued Date
2024-12-01
Resource Type
eISSN
14712415
Scopus ID
2-s2.0-85213702345
Journal Title
BMC Ophthalmology
Volume
24
Issue
1
Rights Holder(s)
SCOPUS
Bibliographic Citation
BMC Ophthalmology Vol.24 No.1 (2024)
Suggested Citation
Luangprasert P., Jongkhajornpong P., Lekhanont K., Nonpassopon M., Chuckpaiwong V. Delayed spontaneous resolution of a double anterior chamber following deep anterior lamellar keratoplasty (DALK). BMC Ophthalmology Vol.24 No.1 (2024). doi:10.1186/s12886-024-03819-6 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/102644
Title
Delayed spontaneous resolution of a double anterior chamber following deep anterior lamellar keratoplasty (DALK)
Corresponding Author(s)
Other Contributor(s)
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.