Retained nuclear fragment found during Descemet-stripping automated endothelial keratoplasty

An 82-year-old man with a 2- to 3-month history of progressive visual loss due to corneal edema was referred to our center. The ocular history was significant for uneventful cataract surgery approximately 3 years earlier. Pseudophakic bullous keratopathy was diagnosed and Descemet-stripping automated endothelial keratoplasty (DSAEK) performed. During surgery, a retained nuclear fragment was discovered in the anterior chamber. The fragment was removed and the DSAEK completed successfully. At the 4-month follow-up, the symptoms had completely resolved and the uncorrected distance visual acuity in the affected eye was 20/40.