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Late Dehiscence After Initial Successful EndoArt Implantation
O Ardelean1, G Geerling, M Borrelli
1Department of Ophthalmology, University of Duesseldorf, Duesseldorf, Germany.
Purpose:
To report a case of late dehiscence of an EndoArt implant and its successful management 10 months after initial implantation.
Methods:
Case report.
Results:
A 73-year-old man with a history of multiple failed Descemet membrane endothelial keratoplasty procedures on the right eye underwent EndoArt implantation for bullous keratopathy. The initial surgery was successful with improved visual acuity and a well-attached implant. However, 10 months after implantation, the patient experienced decreased visual acuity because of implant dehiscence in the superior quadrant. A rebubbling procedure using 20% Schwefelhexafluorid (SF6) gas without additional corneal sutures was performed, resulting in successful reattachment of the implant.
Conclusions:
Although EndoArt dehiscence typically occurs within the first 3 months after implantation, this case demonstrates that late dehiscence can occur even after prolonged implant attachment. Our report highlights the possibility of successful management through rebubbling without additional sutures and emphasizes the importance of extended follow-up for patients with this novel implant.
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