Surgical technique: hand-over-hand retrieval of a posteriorly dislocated DSAEK graft in an eye with an iris reconstruction lens.

Descemet's stripping automated endothelial keratoplasty (DSAEK) has become the preferred surgical treatment for corneal endothelial pathologies. An intraoperative complication of DSAEK is posterior dislocation of the donor graft into the vitreous cavity. As the number of performed DSAEK procedures grows each year, the possibility of encountering a posteriorly dislocated donor graft increases. The authors report a case of intraoperative graft dislocation and a novel hand-over-hand retrieval method from the retinal surface. The hand-over-hand method provides an added surgical strategy for rescuing grafts that have fallen into the vitreous cavity. Copyright 2013, SLACK Incorporated.