Repeat desmetopexy for large Descemet’s membrane detachment after phacoemulsification

Authors

  • Arjun Srirampur Consultant, Anand Eye Institute, Hyderabad, Telangana, India
  • Gangaprasad Amula Consultant, Anand Eye Institute, Hyderabad, Telangana, India
  • Anupama Kalwad Fellow, Anand Eye Institute, Hyderabad, Telangana, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20173602

Keywords:

Anterior OCT, Descemet membrane detachment, Descemetopexy

Abstract

Descemet membrane detachment (DMD) is a potentially vision-threatening complication of cataract surgery. The incidence of DMD has been reported from 0% to 5% during phacoemulsification surgery1of it 0.5% are large and involve the central cornea. Descemetopexy is now accepted as the standard of care for the management of post–cataract surgery Descemet membrane detachment. The success rates with intracameral injections have been reported to be 90-95%. We report a case of a patient who underwent repeat descemetopexy with perflouropropane after failed initial descemetopexy with air for post cataract surgery Descemet membrane detachment. The patient had good visual acuity and clear cornea with Descemet’s membrane well attached at the end of 2 months follow-up.

References

Mulhern M, Barry P, Condon P. A case of Descemet's membrane detachment during phacoemulsificaton surgery. Br J Ophthalmol. 1996;80:185-6.

Khng CY, Voon LW, Yeo KT. Causes and management of Descemet's membrane detachment associated with cataract surgery-not always a benign problem. Ann Acad Med Singap. 2001;30(5):532-5.

Couch SM, Baratz KH. Delayed, bilateral Descemet membrane detachments with spontaneous resolution: implications for nonsurgical treatment. Cornea. 2009;28(10):1160-3.

Iradier MT, Moreno E, Aranguez C, Cuevas J, Feijoo JG, Sanchez JG. Late spontaneous resolution of a massive detachment of Descemet membrane after phacoemulsification. J Cataract Refract Surg. 2002;28(6):1071-3.

Marcon AS, Rapuano CJ, Jones MR, Laibson PR, Cohen EJ. Descemet membrane detachment after cataract surgery: management and outcome. Ophthalmol. 2002;109(12):2325-30.

Assia EI, Levkovich-Verbin H, Blumenthal M. Management of Descemet membrane detachment. J Cataract Refract Surg. 1995;21(6):714-7.

Mahmood MA, Teichmann KD, Tomey KF, Al-Rashed D. Detachment of Descemet’s membrane. J Cataract Refract Surg. 1998;24(6):827-33.

Chaurasia S, Ramappa M, Garg P. Outcomes of air descemetopexy for Descemet membrane detachment after cataract surgery. J Cataract Refract Surg. 2012;38(7):1134-9.

Jain R, Murthy SI, Basu S, Ali MH, Sangwan VS. Anatomic and visual outcomes of descemetopexy in post-cataract surgery. Descemet membrane detachment. Ophthalmol. 2013;120:1366-72.

Datar S, Kelkar A, Jain AK, Kelkar J, Kelkar S, Gandhi P, et al. Repeat Descemetopexy after Descemet’s Membrane Detachment following Phacoemulsification. Case Reports Ophthalmol. 2014;5(2):203-6.

Downloads

Published

2017-07-26

How to Cite

Srirampur, A., Amula, G., & Kalwad, A. (2017). Repeat desmetopexy for large Descemet’s membrane detachment after phacoemulsification. International Journal of Research in Medical Sciences, 5(8), 3755–3757. https://doi.org/10.18203/2320-6012.ijrms20173602

Issue

Section

Case Reports