What question did this study set out to answer?

To detail the surgical method used to manage a dislocated DSAEK graft in a patient with congenital aniridia.

April 1, 2026Open Access

Mind the Gap: Management of a Dislocated DSAEK Graft in a Unicameral Eye With Congenital Aniridia Using a Suture Pull-Through Technique

Key Points

To detail the surgical method used to manage a dislocated DSAEK graft in a patient with congenital aniridia.
Describing a case report involving a surgical intervention
Performing vitrectomy to remove the dislocated graft
Applying a suture pull-through technique for graft placement
The dislocated graft was successfully removed via vitrectomy
An ultrathin DSAEK graft was placed effectively using the suture pull-through technique
Postoperative recovery was uneventful, with the graft remaining well-centered and attached

Abstract

Purpose: To describe the surgical management of a dislocated Descemet Stripping Automated Endothelial Keratoplasty (DSAEK) graft using a suture pull-through technique. Methods: A case report of a patient with congenital aniridia, previous penetrating keratoplasty, glaucoma, and prior anterior segment reconstruction, who experienced posterior dislocation of a DSAEK graft. Results: A vitrectomy was performed to remove the nonviable dislocated graft, followed by successful placement of an ultrathin DSAEK graft using a suture pull-through technique. Postoperative recovery was unremarkable, and the graft remained well-centered and attached. Conclusions: The suture pull-through technique offers a reliable approach to DSAEK graft placement in unicameral eyes with complex anatomy, reducing the risk of posterior dislocation.

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Cite This Study

Mandava et al. (Sun,) studied this question.

synapsesocial.com/papers/69ccb66716edfba7beb88115 https://doi.org/https://doi.org/10.1097/ebct.0000000000000051

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