Deep vein thrombosis following descemet stripping automated endothelial keratoplasty.

DeepVein Thrombosis FollowingDescemet Stripping Automated Endothelial Keratoplasty Venous thromboembolism is the secondmost commonmedical complication after surgery.1 The risk factors for development of deepvein thrombosis (DVT) include age, obesity, and diabetesmellitus.1Deepvein thrombosis associatedwithophthalmic surgery, specifically vitreoretinal surgery, has been reported.2 Descemet stripping automated endothelial keratoplasty (DSAEK)offers several advantagesover conventionalpenetrating keratoplasty andhas become the standard of care inmanaging endothelial dysfunction secondary to Fuchs endothelial dystrophy and pseudophakic bullous keratopathy. Descemet stripping automated endothelial keratoplasty involves the injection of an air bubble in the anterior chamber to assist in graft attachment, and patients typically maintain aposition for 24 to36hours to facilitategraft attachment.Deep vein thrombosis has not been reported as a complication of DSAEK. Herein, we report the development of DVT in 2 patients following DSAEK.