A Clinical Study on Risk Factors of Descemets Membrane Detatchment and Visual Outcome Following Air Descemetopexy for Post Cataract Surgery Descemets Membrane Detatchment

Abstract

Background: To study Risk factors, incidence of Descemets membrane detachment (DMD) and visual outcome following Air Descemetopexy for post cataract surgery DMD. Methods: This study is a type of prospective study conducted in 20 patients who underwent Air Descemetopexy for post cataract surgery descemet’s membrane detachment .20 patients were included in the study who had DMD out of 614 manual small incision cataract surgery (MSICS) and 160 Phacoemulsification during the period, June 2022 to December 2022. A clinical analysis on risk factors, corneal comorbidities, incidence and visual outcome were studied. Results: Mean age of patients was 62.5 years, 40% are males and 60% are females. Incidence of DMD in MSICS was 0.72% and in Phacoemulsification was 0.06%. corneal degenerations and opacities, pseudo exfoliation(PXF), dense cataracts, shallow anterior chamber, phacomorphic glaucoma are the most common risk factors and DMD was higher among Surgical trainees than consultants. 80% of patients has vision better than 6/18 at the end of one month post operatively. Almost 97% patients had successful reattachment. Conclusion: The results of this case series suggests that DMD is a surgeon induced preventable cause for postoperative corneal edema, Early detection and judicious management reduces the incidence and improves visual outcome. Air Descemetopexy is safe and efficient modality of treatment for DMD and should be tried in patients with moderate and severe DMD before opting for major surgeries like Endothelial Keratoplasty as final treatment of choice