**2.3 Case 3**

A 79-year-old man present with bullous keratopathy in his right eye. He underwent traumatic cataract extraction and BDI lens implantation in 2003. On examination, his bestcorrected visual acuity was hand motion in the right, and the IOP was within the normal limits without medication. DSAEK was performed using a neonate donor. The graft markedly contracted during the first postoperative week. Two months later, the patient received a second surgery to exchange the graft. No postoperative complications occurred this time. The last follow-up visit was 3 month after the second DSAEK, the visual acuity improved to 0.1. IOP was good.

The DSAEK basic procedures were same with the reported by Terry. The implants was prepared by using a Moria (Antony, France) automated microkeratome and a Moria artificial chamber.

Fig. 3. (case 3) Slit lamp photograph (A) and AS-OCT (B) shows the donor tissue shrink during the first postoperative week. (C) and (D) shows the newly exchanged donor disc is well attached.
