Clinical characteristics, risk factor analysis, and outcomes of graft rejection after Descemet membrane endothelial keratoplasty

Our study suggests that the risk of rejection is higher for indications such as failed previous graft, post-cataract surgery edema, and edema postinflammatory causes, when compared to Fuchs endothelial dystrophy. Topical steroids should be continued at least up to 2 years after surgery as this is the most common time frame of the rejection episode. The majority (68%) of the rejection episodes were reversible and resulted in a favorable outcome.