Descemet-stripping automated endothelial keratoplasty for vitrectomized cases with traumatic aniridia and aphakic bullous keratopathy.

[aniridia]

The surgical indication for Descemet-stripping automated endothelial keratoplasty (DSAEK ) is largely limited to phakic or pseudophakic cases of endothelial dysfunction with normal pupils , because the endothelial lenticule is generally attached to the recipient cornea by use of gas tamponade into the anterior chamber . Although it may be desirable for vitrectomized cases with aniridia and aphakic bullous keratopathy without capsule support to undergo DSAEK , one of the major problems is lenticule detachment during surgery or in the postoperative period . To perform DSAEK in such cases , special surgical techniques are needed in order to facilitate adhesion of the lenticule . Herein , we describe a suture technique for attaching the endothelial lenticule in DSAEK for aniridic and aphakic cases that have undergone vitrectomy for traumatic vitreoretinal disease .