Author/Authors :
Shalaby Bardan, Ahmed Department of Ophthalmology - Faculty of Medicine - Alexandria University - Alexandria, Egypt - Brighton and Sussex Medical School - Brighton, United Kingdom - Sussex Eye Hospital - Brighton and Sussex University Hospitals NHS Trust - Brighton, United Kingdom , Goweida, Mohamed Bahgat Department of Ophthalmology - Faculty of Medicine - Alexandria University - Alexandria, Egypt , El Goweini, Hesham Fouad Department of Ophthalmology - Faculty of Medicine - Alexandria University - Alexandria, Egypt , Liu, C. S. Christopher Brighton and Sussex Medical School - Brighton, United Kingdom - Sussex Eye Hospital - Brighton and Sussex University Hospitals NHS Trust - Brighton, United Kingdom - Tongdean Eye Clinic - Hove, Unitrd Kingdom
Abstract :
We thank Dr. Arjun Srirampur for his interest in our article “Management of upside‑down Descemet membrane endothelial keratoplasty: A case series”.1 Regarding the timing of reorientation in case no. 1, there is no consensus from the current literature on the correct timing of intervention after the original procedure. This case and other
reported cases in the literature show that there is a window
of opportunity for the initial graft to resume full function
with favorable outcomes. Mariacher et al. reported a similar
case with longer follow‑up where reorientation was done
4 weeks after the initial procedure with a favorable outcome.2
We believe 15 days between diagnosing an upside‑down
Descemet’s membrane endothelial keratoplasty (DMEK) graft
and reorientation is acceptable. Our patient needed this time to make special arrangements before his second procedure.
