Aphakic 86 year old patient after cataract extraction in 1999 complicated by rupture and vitreous exit.
Three years later, the patient presented with a foreign body sensation and photophobia.
Perceives light by right eye, in the cleft lip corneal edema is observed in the 3 mm more peripheral.
Perform a speculation.
It was decided to perform penetrating keratoplasty due to the low density of central endothelial cells and the patient's discomfort.
The patient's cornea is histologically analyzed confirming the diagnosis of BML and showing detachment and rupture of Descemet's membrane and endothelium in the periphery zone, with normal central zone.
At 18 months the corneal button remained clear, without edema, with a corrected vision of 0.2 (for cystic macular edema).
