{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T21:12:44Z","timestamp":1778188364844,"version":"3.51.4"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,9,6]],"date-time":"2024-09-06T00:00:00Z","timestamp":1725580800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100010093","name":"King Khaled Eye Specialist Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100010093","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>The authors report a case of a 65-year-old male with corneal decompensation associated with poor vision with a recent history of cataract surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A patient presented with complaints of poor vision in the left eye. The patient had undergone phacoemulsification surgery 4 months prior to presentation. The presenting best corrected vision was 20\/400 in the left eye with the presence of corneal edema and central Descemet's membrane detachment (DMD) extending to the inferior two-thirds of the cornea with a fibrotic demarcation line separating detached Descemet's from intact, attached Descemet's.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Anterior segment optical coherence tomography (AS-OCT) confirmed the diagnosis of Type 1 DMD. The patient was managed with femtosecond laser-assisted descematorrhexis with intraoperative AS-OCT, and a ready preloaded Descemet stripping endothelial keratoplasty graft.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This report emphasizes that many technological advancements in the field can be employed to improve the outcomes of endothelial keratoplasty, especially when fibrosis is associated with the combined PDL and DMD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.110257","type":"journal-article","created":{"date-parts":[[2024,9,7]],"date-time":"2024-09-07T07:23:56Z","timestamp":1725693836000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Utilization of Ophthalmic Technology and Advances in Endothelial Keratoplasty: A Case Report"],"prefix":"10.1097","volume":"123","author":[{"given":"Raghad","family":"Babaker","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rahaf","family":"Alruwaili","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saud Abdulbadie","family":"Khan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafah","family":"Fairaq","sequence":"additional","affiliation":[{"name":"Anterior Segment Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed","family":"AlMutlak","sequence":"additional","affiliation":[{"name":"Anterior Segment Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Halah","family":"Bin Helayel","sequence":"additional","affiliation":[{"name":"Anterior Segment Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"1","key":"R1-84-20260507","doi-asserted-by":"crossref","first-page":"81","DOI":"10.4103\/2008-322X.156124","article-title":"Complex descemet's membrane tears and detachment during phacoemulsification","volume":"10","author":"Orucoglu,","year":"2015","journal-title":"Journal of Ophthalmic and Vision Research"},{"key":"R2-84-20260507","doi-asserted-by":"crossref","DOI":"10.1016\/j.preteyeres.2022.101161","article-title":"The pre-Descemet's layer (Dua's layer, also known as the Dua-fine layer and the pre-posterior limiting lamina layer): discovery, characterization, clinical and surgical applications, and the controversy","volume":"97","author":"Dua,","year":"2023","journal-title":"Prog. Retin. Eye Res."},{"issue":"5","key":"R3-84-20260507","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int. J. Surg."},{"issue":"4","key":"R4-84-20260507","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1097\/ICO.0b013e318254c045","article-title":"Descemet membrane detachment after phacoemulsification surgery: risk factors and success of air bubble tamponade","volume":"32","author":"Ti,","year":"2013","journal-title":"Cornea"},{"key":"R5-84-20260507","doi-asserted-by":"crossref","first-page":"1727","DOI":"10.2147\/TCRM.S87162","article-title":"A case of Descemet's membrane detachments and tears during phacoemulsification","volume":"11","author":"Wang,","year":"2015","journal-title":"Ther. Clin. Risk Manag."},{"issue":"4","key":"R6-84-20260507","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1097\/ICU.0b013e3281a4776c","article-title":"Femtosecond laser-assisted corneal surgery","volume":"18","author":"Mian,","year":"2007","journal-title":"Curr. Opin. Ophthalmol."},{"issue":"12","key":"R7-84-20260507","doi-asserted-by":"crossref","first-page":"1053","DOI":"10.3928\/1081597X-20091117-04","article-title":"Initial clinical evaluation of an intraocular femtosecond laser in cataract surgery","volume":"25","author":"Nagy,","year":"2009","journal-title":"J. Refract. 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