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CASE REPORT
Year : 2022  |  Volume : 2  |  Issue : 1  |  Page : 69-71

Late-onset Descemet's membrane detachment secondary to presumed interface fluid syndrome after uneventful deep anterior lamellar keratoplasty for keratoconus


1 Cornea and Refractive Surgery Services, Giridhar Eye Institute, Ernakulam, Kerala, India
2 Cataract and Glaucoma Services, Giridhar Eye Institute, Ernakulam, Kerala, India

Correspondence Address:
Dr. Vinay S Pillai
Cornea and Refractive Surgery Services, Giridhar Eye Institute, Ernakulam, Kerala - 682 026
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_929_21

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A forty-year-old male underwent an uneventful big-bubble deep anterior lamellar keratoplasty (DALK) for keratoconus in the right eye. Suture removal was attempted 15 months post-surgery and led to temporal graft host dehiscence that required resuturing of the graft. The patient presented 4 months later with increased intraocular pressure (IOP), graft edema, and nasal Descemet membrane detachment (DMD). IOP control with medication led to reduction and total resolution of DMD and a clear graft. We postulate that the DMD, in this case, was caused by a mechanism similar to the interface fluid syndrome (IFS) that occurs in post-laser in situ keratomileusis (LASIK) eyes and should be considered as a differential diagnosis for DMD following DALK.


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