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Shannon J. C. Shan, MS; Elaine I. Wu, MD, MS; Esen K. Akpek, MD

Arch Ophthalmol. 2009;127(2):219-220.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Descemet stripping endothelial keratoplasty (DSEK) is an alternative to penetrating keratoplasty in the surgical management of endothelial disorders. The major advantage of DSEK over penetrating keratoplasty is that the integrity of the anterior cornea is largely maintained in DSEK. Hence, patients undergoing DSEK have a lower risk of complications such as suprachoroidal hemorrhage and postoperative traumatic wound dehiscence; these patients regain vision sooner and are more likely to achieve better uncorrected vision.¹ Nevertheless, DSEK can be associated with complications, the most frequently reported being graft detachment. Graft rejection and pupillary block may also occur.¹ We describe 2 patients who developed sterile corneal melting after DSEK. Medical evaluation revealed previously undiagnosed Sjögren syndrome (SS) as the underlying cause.

Report of Cases

Case 1

An 87-year-old man with corneal edema due to Fuchs endothelial dystrophy underwent DSEK in his left eye. The graft . . . [Full Text of this Article]

Case 2

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