Case Reports in Ophthalmology (Oct 2024)

Visual Recovery and Endothelial Repopulation after DMEK Graft Removal and Vitrectomy for Late Endophthalmitis: A Case Report

  • Eszter Szalai,
  • Michael W. Belin,
  • Zsuzsanna Szijártó,
  • Adrienne Csutak

DOI
https://doi.org/10.1159/000541644
Journal volume & issue
Vol. 15, no. 1
pp. 736 – 741

Abstract

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Introduction: The aim of the study was to report a unique case with excellent clinical outcomes after late endophthalmitis following Descemet’s membrane endothelial keratoplasty (DMEK) surgery requiring donor graft removal without replacement. Case Presentation: A 67-year-old female with a prior ocular history of bilateral cataract surgery, Fuchs endothelial dystrophy, and pseudophakic DMEK in the left eye presented with endophthalmitis 2 months after keratoplasty. DMEK graft removal without replacement with an intracameral washout, pars plana vitrectomy, intracameral, and intravitreal antibiotics resulted in an excellent visual outcome (20/25). Conclusion: This is a unique case of late endophthalmitis following DMEK surgery requiring graft removal and pars plana vitrectomy with excellent visual recovery without donor replacement.

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