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

Purpose: This case report seeks to document an rare case of posterior dislocation of Descemet stripping automated endothelial keratoplasty (DSAEK) graft in a patient with subluxed intraocular lens one day post operation. Observations: 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 posteriorly dislocated graft. Graft repositioning was done on the same day without complications. Conclusions and Importance: 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.