Question: How would you manage this case of donor corneal disk detachment on the day after the surgery?

摘要

A 54-year-old Caucasian female with Fuchs' corneal dystrophy, cataract, and central corneal edema (Fig. 1)right eye (OD) greater than left eye (OS), had a best-corrected visual acuity (BCVA) of 20/60-2 OD and 20/50-1 OS. Her symptoms interfered with her daily activities including, but not limited to, night driving. She complained of significant glare under certain lighting conditions. She underwent a combined descemetorhexsis with endokeratoplasty (DXEK; also known as Descemet's stripping with endothelial keratoplasty [DSEK] and Descemet's stripping automated endothelial keratoplasty [DSAEK]), with upside-down phacoemulsification (John technique) (refs. 1,2; Figs. 2 and 3) and an acrylic foldable posterior chamber (PC) intraocular lens (IOL) implant OD under topical anesthesia, with monitored anesthesia care (MAC) as an outpatient procedure. This triple procedure was uneventful without any intraoperative complications.