Corneal Imaging with Pentacam After Descemet's Membrane Perforation During Deep Anterior Lamellar Keratoplasty

The usefulness of Pentacam in the diagnosis and management of Descemet's membrane perforation during deep anterior lamellar keratoplasty (DALK) was described and reported. A 59-year-old man with neurotrophic keratitis was operated on DALK procedure. The big-bubble technique was used without apparent complications. A double anterior chamber was observed on the first postoperative day. After days, sulphur hexafluoride (SF(6)) in isoexpansile concentration was successfully injected into the anterior chamber. The Pentacam (Oculus, Wetzlar, Germany) imaging was performed. Correlations between Pentacam findings and clinical signs were evaluated. Pentacam imaging is a useful technique to diagnose and document the progress of surgical complications after DALK.