{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T19:15:25Z","timestamp":1762542925354,"version":"3.40.4"},"reference-count":18,"publisher":"S. Karger AG","issue":"2","license":[{"start":{"date-parts":[[2018,8,22]],"date-time":"2018-08-22T00:00:00Z","timestamp":1534896000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2018,8,22]],"date-time":"2018-08-22T00:00:00Z","timestamp":1534896000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Rep Ophthalmol"],"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Purpose:&lt;\/i&gt;&lt;\/b&gt; The aim of this article is to report an unusual case of postoperative graft loss into the vitreous cavity after Descemet membrane endothelial keratoplasty (DMEK) in a patient with an unstable iris-lens diaphragm (scleral-fixated intraocular lens [sf-IOL]) and its successful retrieval with a favourable outcome. &lt;b&gt;&lt;i&gt;Methods:&lt;\/i&gt;&lt;\/b&gt; This is a retrospective case report. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; DMEK procedure was performed in a vitrectomized eye of an 80-year-old woman with pre-existing sf-IOL due to pseudophakic bullous keratopathy. In the setting of an inadvertently created oversized Ando iridectomy and unstable iris-lens diaphragm due to sf-IOL, repeated loss of an anterior chamber gas tamponade occurred. At the 3rd postoperative day, the patient noticed a change in visual perception, and we could detect a loss of the graft into the vitreous via B-scan ultrasound. A 23-G vitrectomy was performed promptly to recover the graft using a bimanual hand-over-hand technique. Six months after DMEK, the patient had a clear cornea without dehiscences with a central corneal thickness of 533 \u00b5m and endothelial cell count of 1,219 cells\/mm&lt;sup&gt;2&lt;\/sup&gt;. &lt;b&gt;&lt;i&gt;Conclusions:&lt;\/i&gt;&lt;\/b&gt; This case demonstrates the possibility of graft recovery from the vitreous after DMEK and subsequent corneal clearing despite unstable iris-lens diaphragm and vitrectomized eye.<\/jats:p>","DOI":"10.1159\/000492173","type":"journal-article","created":{"date-parts":[[2018,8,22]],"date-time":"2018-08-22T21:01:35Z","timestamp":1534971695000},"page":"381-387","source":"Crossref","is-referenced-by-count":12,"title":["An Unusual Case of DMEK Graft Loss into the Vitreous and Its Successful Retrieval and Survival"],"prefix":"10.1159","volume":"9","author":[{"given":"Khaled","family":"Helaiwa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai","family":"Januschowski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karl\u00a0T.","family":"Boden","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annekatrin","family":"Rickmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2018,8,22]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1001\/archophthalmol.2008.619"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0000000000000625"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2415-14-6"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2009.162180"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s00417-016-3377-z"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2011.09.006"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/982657"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.3928\/23258160-20131015-02"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0000000000000288"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0b013e31828f0e3c"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2014.04.009"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2011.02.002"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2009.07.010"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1080\/02713683.2017.1368086"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0000000000000915"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2011.07.032"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0b013e31821c9afc"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0000000000001081"}],"container-title":["Case Reports in Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/492173","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/492173","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T16:52:37Z","timestamp":1745427157000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000492173"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8,22]]},"references-count":18,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2018,9,3]]}},"URL":"https:\/\/doi.org\/10.1159\/000492173","archive":["Portico"],"relation":{},"ISSN":["1663-2699"],"issn-type":[{"type":"electronic","value":"1663-2699"}],"subject":[],"published":{"date-parts":[[2018,8,22]]}}}