Retrocorneal membrane after Descemet membrane endothelial keratoplasty.

PURPOSE: To describe a retrocorneal membrane after Descemet membrane endothelial keratoplasty (DMEK).

METHODS

Case report and review of the medical literature.

RESULTS

A 73-year-old woman diagnosed with bilateral pseudophakic bullous keratopathy underwent DMEK in her left eye. Her preoperative best-spectacle-corrected visual acuity OD was 20/500 and OS was 20/500. After DMEK, graft detachment was found on the first and second postoperative days. Graft repositioning with air was performed 2 times. One month after DMEK, a membranous structure was identified behind the cornea by slit-lamp examination. The patient was applying topical levofloxacin 0.5% (Cravit; Santen, Japan) and prednisolone acetate 1% (Pred Forte; Allergan, Irvine, CA) 4 times per day. Two months after DMEK, the retrocorneal membrane disappeared, and the patient's best-corrected visual acuity OS improved to 20/40.

CONCLUSIONS

We report the first case of retrocorneal membrane formation after DMEK surgery.