Posterior Lamellar Disc Dislocation Into the Vitreous Cavity During Descemet Stripping Automated Endothelial Keratoplasty

We present a case of a dislocated posterior lamellar lenticule into the vitreous cavity during Descemet stripping automated endothelial keratoplasty. After insertion of the donor disc in a partially vitrectomized eye with partial iris loss, the graft dislocated into the vitreous cavity. With a standard 3-port vitrectomy and the help of perflourocarbon fluid, the graft was lifted into the anterior segment of the eye and firmly attached to the recipient cornea using liquid-air exchange. The postoperative follow-up was without complications. The cornea was clear at the third day after surgery without recurrent graft dislocation.