J Korean Ophthalmol Soc.  2023 Jul;64(7):647-650. 10.3341/jkos.2023.64.7.647.

Reattachment of Graft Using Atropine after Descemet Stripping Automated Endothelial Keratoplasty in Iris Deformity

• Yang SA
• Kang MS
• Shin JH
• Lee JE

• KMID: 2544309
• DOI: http://doi.org/10.3341/jkos.2023.64.7.647

Abstract

Purpose
To report successful graft reattachment using atropine after Descemet’s membrane stripping automated endothelial keratoplasty (DSAEK) in iris deformity.
Case summary
A 76-year-old male was referred for decreased visual acuity due to bullous keratopathy in his right eye. He had previously undergone several eye surgeries, including vitrectomy and intraocular lens fixation, because of retinal detachment, which caused the iris deformity. DSAEK was performed, but the graft detached because of an air bubble in the posterior chamber. Atropine was used to move the air into the anterior chamber. The graft was attached the next day, and maintained during 3 months of follow-up.
Conclusions
Atropine is an effective treatment option for cases with air bubble migration to the posterior chamber, leading to graft detachment after DSAEK in iris deformity.

Keyword

Atropine, DSAEK, Iris deformity