Dr.NEET MEHTA

Dr. SUNITA CHAURASIA, Dr. MURALEEDHARA R.

Abstract

This study describes the unusual post-operative Bowmans membrane striae (BMS) after an uncomplicated DSEAK in cases of CHED. 99 eyes of 62 children who underwent DSAEK were analyzed and compared in the retrospective analysis.

Typically, BMS appear between 3-4 weeks postoperatively and tend to decline in density between 3-7 years postoperatively. CCT improved from 1053 ± 19.6 preoperatively to 595 ± 67.8 mm postoperatively. At the last follow-up, average endothelial cell counts were 1673 ± 65.4 cell/mm2. No intra/postoperative complications were reported. The corneal folds remained unchanged during the follow-up. The comparative analysis between groups did not show significant differences except for age at surgery. While DSAEK seems to offer better graft outcomes and visual prognosis in children with CHED, 2/3rd of these eyes had BMS. The late surgical intervention appears to be an independent risk factor for these striae, perhaps due to rapid corneal thinning after DSEAK.

Full Text