Retained interface gentian violet ink in descemet stripping endothelial keratoplasty

Liang, Steve Y.-W. and Lee, Graham A. (2012) Retained interface gentian violet ink in descemet stripping endothelial keratoplasty. Cornea, 31 1: 92-93. doi:10.1097/ICO.0b013e31821eea7f

Author Liang, Steve Y.-W.
Lee, Graham A.
Title Retained interface gentian violet ink in descemet stripping endothelial keratoplasty
Journal name Cornea   Check publisher's open access policy
ISSN 0277-3740
Publication date 2012-01
Sub-type Article (original research)
DOI 10.1097/ICO.0b013e31821eea7f
Volume 31
Issue 1
Start page 92
End page 93
Total pages 2
Place of publication Philadelphia, PA, United States
Publisher Lippincott Williams and Wilkins
Collection year 2013
Language eng
Formatted abstract
Purpose: To present a case of a patient who underwent right Descemet stripping endothelial keratoplasty (DSEK) in whom the gentian violet ink used to mark and orient the donor corneal graft had persisted at the host–graft interface.

Methods: A 57-year-old woman with progressive corneal edema from Fuchs endothelial dystrophy in her right eye underwent a combined phacoemulsification/posterior chamber intraocular lens insertion and DSEK. The host endothelium was stripped in a central 9.0-mm diameter. The endothelial graft was harvested to a depth of 400 mm. The anterior stromal flap was lifted, and the stromal side of the endothelial graft was peripherally marked with a dotted ‘‘7’’ using a Codman gentian violet marker pen and a dot was placed at the center to aid centration. The graft was inserted and centrally positioned. The superior clear cornealwound was closed with 3310/0 nylon interrupted sutures. The patient was instructed to lie face up for the first 48 hours.

At 1 week, the graft was well positioned and the central gentian violet mark was not present but the peripheral markings were noted. At 14 months, the cornea was clear with an unaided visual acuity of 20/25 and best-corrected visual acuity of 20/20 but the superior peripheral markings persisted at the graft–host interface. Specular microscopy demonstrated a cell density of 1900 cells per square millimeter.

Gentian violet ink marking used in DSEK operations may persist at the graft–host interface. Small, peripheral markings will minimize the risk of interference with central vision, ink-induced inflammation, and endothelial damage.
Keyword Corneal transplantation
Descemet stripping endothelial keratoplasty
Gentian violet
Marking pen
Q-Index Code CX
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Medicine Publications
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