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Successful DMEK After Intraoperative Graft Inversion.
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Hardiness
of
a
Descemet
membrane
endothelial
keratoplasty
(
DMEK
)
graft
is
not
well
established
.
The
aim
of
this
study
was
to
report
a
case
of
graft
survival
after
intraoperative
inversion
.
We
describe
a
case
of
a
76
-
year
-old
man
with
Fuchs
corneal
dystrophy
who
underwent
DMEK
in
the
left
eye
.
After
deployment
of
the
graft
and
a
15
-
minute
sulfur
hexafluoride
gas
fill
,
the
graft
was
noted
to
be
inverted
.
The
graft
was
then
reoriented
and
properly
positioned
.
Because
of
progressive
graft
detachment
,
rebubble
was
required
at
2
weeks
after
surgery
.
At
2
months
after
surgery
,
the
graft
was
clear
and
fully
adherent
.
Specular
microscopy
revealed
27
.
9
%
endothelial
cell
loss
of
the
donor
cornea
.
Despite
intraoperative
inversion
,
this
DMEK
graft
remained
viable
without
excessive
endothelial
cell
loss
.
