Late central graft detachment due to double endothelial layer after repeat Descemet membrane endothelial keratoplasty

CONCLUSIONS AND IMPORTANCE: To our knowledge, this is the first report of a central repeat-DMEK graft detachment that occurred 16 months after surgery despite initial attachment. Interestingly, there was no concurrent corneal edema or vision reduction. We describe a potential mechanism for clear central cornea in the presence of a central graft detachment after …