Placoid choroidopathy after bilateral uncomplicated descemet's membrane endothelial keratoplasty

Thomas H Dohlman; Neepa Shah; Colin Prensky; Mrinali P Gupta; Donald J D'Amico; Szilard Kiss; Christopher S Sales

doi:10.1016/j.ajoc.2020.100610

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Placoid choroidopathy after bilateral uncomplicated descemet's membrane endothelial keratoplasty

Journal article

Open access

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Placoid choroidopathy after bilateral uncomplicated descemet's membrane endothelial keratoplasty

Thomas H Dohlman, Neepa Shah, Colin Prensky, Mrinali P Gupta, Donald J D'Amico, Szilard Kiss and Christopher S Sales

American journal of ophthalmology case reports, Vol.17, p.100610

03/2020

DOI: 10.1016/j.ajoc.2020.100610

PMCID: PMC7011037

PMID: 32072075

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Abstract

To describe a case of bilateral, sequential placoid choroidopathy following uncomplicated Descemet's membrane endothelial keratoplasty (DMEK). A 49-year old woman presented with flashing lights and central visual field scotomas after undergoing uncomplicated DMEK combined with cataract surgery for Fuch's endothelial dystrophy in the right eye. She was found to have placoid choroidopathy responsive to systemic steroids and for which a comprehensive work-up was unrevealing. Three and a half months later, she underwent DMEK surgery in the fellow eye and again developed placoid choroidopathy in the operated eye. Work-up was again unrevealing and the lesion followed a similar course to the first eye on systemic steroids. Over the course of seven (right eye) and three and a half months (left eye) of follow-up, the uncorrected visual acuity was 20/20 bilaterally and the retinal lesions had modestly improved. We report a case of placoid choroidopathy following uncomplicated DMEK combined with cataract surgery in both eyes of a single patient. This case expands upon the reported complications following DMEK surgery and suggests a need to remain aware of posterior segment complications following endothelial keratoplasty.

Placoid choroidopathy

Endothelial keratoplasty

Chorioretinitis

DMEK

Details

Title: Subtitle: Placoid choroidopathy after bilateral uncomplicated descemet's membrane endothelial keratoplasty
Creators: Thomas H Dohlman - Department of Ophthalmology, Weill Cornell Medical College, New York, NY, USA
Neepa Shah - Department of Ophthalmology, Weill Cornell Medical College, New York, NY, USA
Colin Prensky - Department of Ophthalmology, Weill Cornell Medical College, New York, NY, USA
Mrinali P Gupta - Department of Ophthalmology, Weill Cornell Medical College, New York, NY, USA
Donald J D'Amico - Department of Ophthalmology, Weill Cornell Medical College, New York, NY, USA
Szilard Kiss - Department of Ophthalmology, Weill Cornell Medical College, New York, NY, USA
Christopher S Sales - Department of Ophthalmology, Weill Cornell Medical College, New York, NY, USA
Resource Type: Journal article
Publication Details: American journal of ophthalmology case reports, Vol.17, p.100610
DOI: 10.1016/j.ajoc.2020.100610
PMID: 32072075
PMCID: PMC7011037
NLM abbreviation: Am J Ophthalmol Case Rep
ISSN: 2451-9936
eISSN: 2451-9936
Grant note: name: Weill Cornell Department of Ophthalmology
Language: English
Date published: 03/2020
Academic Unit: Ophthalmology and Visual Sciences
Record Identifier: 9984111197602771

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