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Ophthalmic Images
August 10, 2017

Double Descemet Membrane

Author Affiliations
  • 1Department of Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
JAMA Ophthalmol. 2017;135(8):e171449. doi:10.1001/jamaophthalmol.2017.1449

A man in his early 80s underwent penetrating keratoplasty for leucomatous corneal opacity in his left eye. Postoperative slitlamp biomicroscopy results revealed a clear corneal graft with a retrocorneal membrane that could be traced clearly up to the graft-host junction (Figure, A). A clinical diagnosis of a detached Descemet layer of the donor graft was made. Anterior segment optical coherence tomography results revealed a hyperreflective linear undulating structure in the anterior chamber that was in continuation with the posterior lips of the host cornea (Figure, B). This was suggestive of a retained host Descemet membrane that might have resulted from an incomplete trephination of the host cornea. The patient was kept under observation, as the graft was clear.