PMC5525599_01
(a) The patient's left eye showed yellowish-brown deposits in the palpebral fissure area of the cornea. (b) Dense yellowish-brown deposits in the deepest stromal layer of the cornea adjacent to the endothelium in the left eye. (c) Right eye showed similar corneal deposits
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F1
A slit-lamp examination demonstrated yellowish-brown deposits in the deepest stromal layers and endothelium in both eyes [Figure 1a-c].
Anterior segment optical coherence tomography images of the left eye (a) preoperative, red arrows indicate the level of corneal deposits (b) postoperative, a well-adherent graft is displayed
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F2
Anterior segment optical coherence tomography (AS-OCT, Visante OCT; Carl Zeiss Meditec, Dublin, CA, USA) confirmed that the depth of the drug deposits was confined to the deep-stromal layers [Figure 2a]. Post operative AS-OCT indicated a well-adhered graft [Figure 2b].
(a) Two weeks after Descemet's Stripping-automated Endothelial Keratoplasty, a significant anterior subcapsular cataract was evident. (b) Phacoemulsification, intraocular lens implantation and temporal pupilloplasty was performed, and the cornea became completely clear 6 months after Descemet's Stripping-automated Endothelial Keratoplasty
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F3
Two weeks after DSAEK, a significant anterior subcapsular cataract was observed in the same eye and vision decreased to 20/200 [Figure 3a]. The left cornea had become completely clear 6 months postoperatively [Figure 3b].