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Updated: May 23, 2026
Corneal Donor Tissue Preparation for Descemet's Membrane Endothelial Keratoplasty
Published on: September 17, 2014
Graft suturing for lenticule dislocation after descemet stripping automated endothelial keratoplasty
Wai-Kwan Wu1, Victoria W Y Wong, Stanley C C Chi
1Department of Ophthalmology and Visual Sciences, Chinese University of Hong Kong and Hong Kong Eye Hospital, Hong Kong, China.
Purpose:
To report the mid-term outcomes of graft suturing in a patient with lenticule dislocation after Descemet stripping automated endothelial keratoplasty (DSAEK).
Case Report:
A 78-year old woman was found to have graft dislocation involving the nasal half of the cornea after uneventful DSAEK. Graft repositioning, refilling the anterior chamber with air, and placement of four full-thickness 10/0 nylon sutures over the detached area were performed two weeks after the initial surgery. The sutures were removed 6 weeks later. Serial specular microscopy and anterior segment optical coherence tomography were performed. At 18 months, there was good lenticule apposition and a clear graft.
Conclusion:
Anchoring sutures seem to be effective for management of graft detachment following DSAEK.
