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Updated: Jul 17, 2026
Corneal Donor Tissue Preparation for Descemet's Membrane Endothelial Keratoplasty
Published on: September 17, 2014
Spontaneous resolution of partial donor disk dislocation after deep lamellar endothelial keratoplasty
Ying-Cheng Shen1, Chun-Yuan Wang, Hin-Yeung Tsai
1Department of Ophthalmology, Taichung Veterans General Hospital, Taiwan, ROC. eric550131@yahoo.com.tw
Purpose:
We report a case of spontaneous resolution of donor disk partial dislocation after deep lamellar endothelial keratoplasty (DLEK).
Design:
Case report.
Methods:
A 70-year-old male with right pseudophakia bullous keratopathy underwent DLEK. Postoperatively, a partial dislocation of inferior donor disk was noted. Repositioning surgery with gas tamponade was performed.
Results:
The interfacial separation remained after gas tamponade. Two weeks later, corneal edema subsided, and there was a reduction in interfacial separation. One month after DLEK, donor disk spontaneously attached to recipient corneal bed. At the six-month follow-up, astigmatism was 1.75 diopters. Specular microscopy showed endothelial counts of 1520 cells/mm(2). Spectacle-corrected visual acuity improved to 6/15.
Conclusions:
Partial dislocation of donor disk after DLEK has a possibility of spontaneous resolution, even after a failed attempt at gas tamponade.
