{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T20:27:03Z","timestamp":1777580823923,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2020,11,20]],"date-time":"2020-11-20T00:00:00Z","timestamp":1605830400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To present a case of double anterior chamber after DALK and its surgical management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case description:<\/jats:title>\n                    <jats:p>A 67-year-old healthy woman underwent deep anterior lamellar keratoplasty (DALK) in her right eye for keratoconus with the big-bubble technique. About 7\u2009days after surgery a partial detachment of the Descemet membrane from the posterior corneal stroma was revealed using AS-OCT (double anterior chamber appearance). In spite of two injections in the anterior chamber of air and gas on the 7th and 9th post-operative days respectively, the double anterior chamber still persisted. Furthermore, both air and gas passed through the little perforation of the host Descemet membrane-endothelium complex and enlarged the space between the stroma and Descemet membrane. About 10\u2009weeks after DALK, a spontaneous resolution of the double anterior chamber was observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case suggests that an injection of air or gas into the anterior chamber, to deal with a Descemet membrane detachment following perforation during DALK procedure, can enlarge the double anterior chamber by increasing the space between stroma and Descemet membrane. These cases can be managed with a \u201cwait and see\u201d strategy for a spontaneous resolution to Descemet membrane detachment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1120672120973610","type":"journal-article","created":{"date-parts":[[2020,11,20]],"date-time":"2020-11-20T03:55:56Z","timestamp":1605844556000},"page":"NP47-NP50","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["A singular case of iatrogenic gas-filled double anterior chamber after DALK"],"prefix":"10.1177","volume":"32","author":[{"given":"Fabrizio Gaetano Saverio","family":"Franco","sequence":"first","affiliation":[{"name":"Department of Neuroscience, Psychology, Pharmacology and Child Health, Eye Clinic, University of Florence, Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3123-768X","authenticated-orcid":false,"given":"Lidia","family":"Vicchio","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Psychology, Pharmacology and Child Health, Eye Clinic, University of Florence, Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Branchetti","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Psychology, Pharmacology and Child Health, Eye Clinic, University of Florence, Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Vignapiano","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Psychology, Pharmacology and Child Health, Eye Clinic, University of Florence, Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabrizio","family":"Giansanti","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Psychology, Pharmacology and Child Health, Eye Clinic, University of Florence, Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,11,20]]},"reference":[{"key":"bibr1-1120672120973610","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(01)01181-6"},{"key":"bibr2-1120672120973610","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2007.02.016"},{"key":"bibr3-1120672120973610","doi-asserted-by":"publisher","DOI":"10.1007\/s10792-009-9334-7"},{"key":"bibr4-1120672120973610","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2018.10.026"},{"key":"bibr5-1120672120973610","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2019.03.026"},{"key":"bibr6-1120672120973610","doi-asserted-by":"publisher","DOI":"10.1097\/ICU.0b013e3283622873"},{"key":"bibr7-1120672120973610","doi-asserted-by":"publisher","DOI":"10.1016\/j.sjopt.2017.01.003"},{"key":"bibr8-1120672120973610","doi-asserted-by":"publisher","DOI":"10.4103\/0974-620X.99376"},{"issue":"8","key":"bibr9-1120672120973610","first-page":"7","volume":"97","author":"Lin X","year":"2018","journal-title":"Med (United States)"},{"issue":"4","key":"bibr10-1120672120973610","volume":"14","author":"Maurino V","year":"2011","journal-title":"Evid Based Nurs"}],"container-title":["European Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1120672120973610","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1120672120973610","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1120672120973610","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T19:43:48Z","timestamp":1777405428000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1120672120973610"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,20]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["10.1177\/1120672120973610"],"URL":"https:\/\/doi.org\/10.1177\/1120672120973610","relation":{},"ISSN":["1120-6721","1724-6016"],"issn-type":[{"value":"1120-6721","type":"print"},{"value":"1724-6016","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,20]]}}}