Artificial Endothelial Layer Implantation After Multiple Failed Keratoplasties

Jasmien Rens, Iva Krolo, Carina Koppen, Sorcha Ni Dhubhghaill

Research output: Contribution to journalArticlepeer-review


PURPOSE: Presenting the first case of noncellular corneal endothelial substitute after multiple failed penetrating keratoplasty and lamellar endothelial keratoplasty.

METHODS: Our case presented with pseudophakic bullous keratopathy after a history of 2 rejected PKs and 1 rejected Descemet stripping automated endothelial keratoplasty. We implanted an artificial endothelial layer.

RESULTS: The implant remained fully attached for a follow-up period of 12 months, and central corneal thickness decreased significantly. The patient reported improvement in her subjective vision, although ocular comorbidities limited the visual potential.

CONCLUSIONS: This new device could serve as an alternative to lamellar endothelial corneal transplantation in cases where tissue rejection has occurred and is highly likely to recur. The technique is simple, and the deswelling effect on the cornea persisted, although the visual results require further validation in patients with a higher visual potential.

Original languageEnglish
Pages (from-to)790-794
Number of pages5
Issue number6
Early online date18 Jan 2024
Publication statusE-pub ahead of print - 18 Jan 2024

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