Posterior dislocation and early retrieval of a Descemet stripping automated endothelial keratoplasty graft

Introduction: This case report seeks to document a rare case of posterior dislocation of Descemet stripping automated endothelial keratoplasty (DSAEK) graft in a patient with subluxed intraocular lens one day post-operation. Case Report: A 70-year-old man with a background of subluxed intraocular lens in a non-vitrectomized eye with pseudophakic bullous keratopathy underwent DSAEK. Review on post-operative day one noted a dislocated graft. Graft re-bubbling in the clinic with air displaced the graft into the posterior segment. Graft retrieval, repositioning, and intraocular lens removal were done on the same evening without complications. Conclusion: This case report shows the possibility of DSAEK graft dislocation post-operation in a non-vitrectomized eye but with compromised barrier between anterior and posterior chambers of the eye. The uniqueness of this case report is retrieving a DSAEK graft in the posterior segment and successfully using the same graft to achieve a clear cornea the day after the original surgery.