Descemet Stripping Automated Endothelial Keratoplasty in a Child With Descemet Membrane Breaks After Forceps Delivery

Abstract

To our knowledge, this is the first report of a DSAEK in a child with DM tears after forceps delivery. Selective replacement of posterior corneal layers with DSAEK might be a promising alternative to penetrating keratoplasty to successfully treat endothelial or DM lesions during childhood.

Descemet stripping automated endothelial keratoplasty in a child after failed penetrating keratoplasty

“…[1][2][3] The small size of surgically induced corneal section in DSAEK creates less likelihood of wound dehiscence compared with the larger wound created by PK 4 ; this consideration is an important one, especially in children, who may be more active than adult patients. DSAEK does not require multiple sutures, thus minimizing suture-related ocular surface complications such as vascularization, epithelial defects, corneal infections, and exposed sutures.…”

Successful Descemet’s stripping automated endothelial keratoplasty for congenital hereditary endothelial dystrophy in a pediatric patient

“…As long-term follow-up data becomes available and surgeon comfort with the procedure increases, DSAEK is continually being applied to new diseases. Pediatric cases of endothelial dysfunction treated by DSAEK have already been reported for the treatment of bullous keratopathy following cataract surgery and Descemet's membrane damage due to traumatic birth injury [5,6].…”

Study of factors for unsuitability of DSAEK in cases of corneal decompensation following cataract surgery

“…The common indications for this procedure are post cataract surgery corneal decompensation and Fuch's endothelial corneal dystrophy. Other corneal conditions amenable to treatment with DSAEK include graft failure secondary to endothelial decompensation, Descemet's tears following forceps delivery and iridiocorneal endothelial syndrome [4][5][6].…”