Abstract | PURPOSE: To report a case of long-term corneal clarity after spontaneous resolution of corneal edema associated with iatrogenic endothelial trauma in a patient with Fuchs dystrophy. METHODS: Retrospective case report. RESULTS: An 84-year-old woman with Fuchs dystrophy experienced an iatrogenic descemetorhexis during complicated phacoemulsification. Despite marked early postoperative corneal edema, she experienced spontaneous clearing of her cornea within 4 months with eventual reendothelialization of the central defect. She maintained excellent visual acuity for 16 years with no evidence of recurrent corneal edema. CONCLUSIONS: Self-repair of a descemetorhexis and long-term corneal clarity may occur in eyes with underlying endothelial dystrophy.
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Authors | Steven B Koenig |
Journal | Cornea
(Cornea)
Vol. 32
Issue 6
Pg. 886-8
(Jun 2013)
ISSN: 1536-4798 [Electronic] United States |
PMID | 23538630
(Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)
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Topics |
- Aged, 80 and over
- Cornea
(physiology)
- Corneal Edema
(etiology, physiopathology)
- Descemet Membrane
(pathology)
- Female
- Fuchs' Endothelial Dystrophy
(etiology, physiopathology)
- Humans
- Iatrogenic Disease
- Phacoemulsification
(adverse effects)
- Remission, Spontaneous
- Retrospective Studies
- Visual Acuity
(physiology)
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