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Case Report
Posterior dislocation and early retrieval of a Descemet stripping automated endothelial keratoplasty graft
1 Khoo Teck Puat Hospital, Singapore
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Philip Francis Stanley
Khoo Teck Puat Hospital,
Singapore
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Article ID: 100048Z17PS2025
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Stanley PF, Hang YT, Jue JC. Posterior dislocation and early retrieval of a Descemet stripping automated endothelial keratoplasty graft. J Case Rep Images Opthalmol 2025;8(2):12–18.ABSTRACT
Introduction: This case report seeks to document a rare case of posterior dislocation of Descemet stripping automated endothelial keratoplasty (DSAEK) graft in a patient with subluxed intraocular lens one day post-operation.
Case Report: A 70-year-old man with a background of subluxed intraocular lens in a non-vitrectomized eye with pseudophakic bullous keratopathy underwent DSAEK. Review on post-operative day one noted a dislocated graft. Graft re-bubbling in the clinic with air displaced the graft into the posterior segment. Graft retrieval, repositioning, and intraocular lens removal were done on the same evening without complications.
Conclusion: This case report shows the possibility of DSAEK graft dislocation post-operation in a non-vitrectomized eye but with compromised barrier between anterior and posterior chambers of the eye. The uniqueness of this case report is retrieving a DSAEK graft in the posterior segment and successfully using the same graft to achieve a clear cornea the day after the original surgery.
Keywords: Descemet stripping automatic endothelial keratoplasty, Graft dislocation, Posterior, Subluxed intraocular lens
SUPPORTING INFORMATION
Author Contributions
Philip Francis Stanley - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Yeo Tun Hang - Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Jenny Chen Jue - Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2025 Philip Francis Stanley et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
