PMC3655503_01
External photographs of the right (a) and left (b) eyes eight months after DSEK. (a) A 9 mm in diameter clear graft is evident. The graft appears small in an eye with a 15 mm cornea in diameter. (b) Diffuse ecstatic cornea is seen. The patient with keratoglobus is looking down slightly to show extreme corneal protuberance.
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fig1
By eight months after surgery, the patient reported significant improvement in photophobia, vision, and tearing as compared to the symptoms prior to DSEK placement (Figure 1).
Anterior segment OCT of the right eye showing a stable DSEK graft eight months after placement (white arrows). Extreme peripheral corneal ectasia is evident (white star).
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fig2
IOP was normal, cornea was clear, and DSEK graft was stable (Figure 2).
Axial curvature and keratometry measurements of both eyes eight months after DSEK graft placement in the right eye. Significant corneal irregularity is seen on the keratometric map in both eyes.
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fig3
The keratometric map of both eyes is shown in Figure 3.