Long-term corneal clarity after spontaneous repair of an iatrogenic descemetorhexis in a patient with Fuchs dystrophy.

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.

• 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)

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)