Have you found a successful treatment option for fixed Descemet's folds following prolonged hypotony (after hypotony has been treated/resolved) or Descemet's striae from a surgical incision?
Often times I end up going with endothelial transplant but the striae/fixed folds remain and the detachment rate is fairly high. I also have several patients with these issues who are not surgical candidates.
1 Answer
Mednet MemberInvited Expert
Ophthalmology · Alkek Eye Center
Answered on
These are difficult situations. The best success I have had is doing DSEKs and suturing the graft in 4 quadrants with 10-0 nylon to prevent detachment. It takes longer to clear but prevents detachment, and the sutures can be removed once the edema is clear. The lifespan of these transplants is inher...
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