PMC5903106_01
Slit lamp photograph demonstrating fine Descemet membrane scrolling within the anterior chamber centrally and a triangular window defect superior and temporal in the membrane.
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F1
Anterior segment examination was notable for the presence of a retained DM with the appearance of a double anterior chamber as well as peripheral anterior synechiae with iris attachments to the graft (Fig. 1).
Anterior segment optical coherence tomography demonstrating the retrocorneal membrane floating free within the anterior chamber.
cop-0009-0227-g02.jpg
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F2
Anterior segment optical coherence tomography imaging revealed the presence of a tissue layer consistent with retained DM in the anterior chamber (Fig. 2).
Histopathology sections of the retained Descemet membrane. a Corneal stroma comprising collagen fibrils with characteristic clefts from processing artifact. H&E, x10. b The residual peripheral Descemet membrane is highlighted with PAS stain towards the right side of the image. PAS, x10.
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PMC5903106_01_cop-0009-0227-g03.jpg
F3
Histopathology with PAS stain confirmed the incomplete DM removal from prior failed DSAEK button removal (Fig. 3a, b).