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Spontaneous reattachment of a posteriorly dislocated endothelial graft: a case report.
[aniridia]
A
thirty
-
year
-old
Chinese
man
with
a
history
of
severe
trauma
to
his
right
eye
,
with
secondary
sectoral
aniridia
and
multiple
operations
including
intraocular
lens
insertion
more
than
fifteen
years
ago
,
underwent
an
uneventful
Descemet
's
Stripping
Automated
Endothelial
Keratoplasty
(
DSAEK
)
for
his
pseudophakic
bullous
keratopathy
in
a
tertiary
hospital
in
Hong
Kong
.
The
nature
of
his
previous
operations
was
unknown
to
the
surgeon
at
the
time
of
transplant
.
On
postoperative
day
one
,
the
graft
was
not
present
in
the
anterior
chamber
.
Fundal
view
was
limited
because
of
corneal
oedema
.
B-
scan
ultrasonography
could
not
detect
any
definite
presence
of
a
donor
button
in
the
posterior
segment
as
gas
was
present
in
the
vitreous
cavity
.
The
patient
was
instructed
to
lie
prone
full
time
,
and
on
postoperative
day
three
,
the
graft
was
found
to
be
reattached
to
the
stroma
with
spontaneous
resolution
of
corneal
oedema
,
indicating
restoration
of
pump
function
of
endothelium
graft
.
This
is
the
first
case
of
spontaneous
reattachment
of
a
posteriorly
dislocated
endothelial
graft
without
surgical
intervention
or
abandonment
of
the
grafted
endothelial
button
.
Diseases
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Diseases presenting
"pseudophakic bullous keratopathy in a tertiary hospital"
symptom
aniridia
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