Abstract
BackgroundDescemet’s membrane detachment (DMD) is one of the most serious complications of modern cataract surgery. We present an alternative technique for management of DMD with a review of the literature on current strategies for the treatment of DMD.Case presentationA 74-year-old woman developed DMD after phacoemulsification and failed the first descemetopexy with air tamponade. An alternative method was used to drain the pre-descematic fluid and reposition the detached Descemet’s membrane in this rare case. This technique involved completely filling the anterior chamber with an intracameral air injection, followed by using a 23-gauge needle to puncture the peripheral cornea to drain the pre-descematic fluid. The Descemet’s membrane was completely reattached to the stroma during the follow-up.ConclusionsDrainage of pre-descematic fluid combined with intracameral air tamponading was used as an alternative surgical option for the management of this severe case of DMD.
Highlights
Descemet’s membrane detachment (DMD) is one of the most serious complications of modern cataract surgery
Drainage of pre-descematic fluid combined with intracameral air tamponading was used as an alternative surgical option for the management of this severe case of DMD
Descemet’s membrane detachment (DMD), a serious complication leading to irreversible corneal decompensation, has been reported following a wide variety of intraocular surgical procedures
Summary
Descemet’s membrane detachment (DMD) is one of the most serious complications of modern cataract surgery. Conclusions: Drainage of pre-descematic fluid combined with intracameral air tamponading was used as an alternative surgical option for the management of this severe case of DMD. Background Descemet’s membrane detachment (DMD), a serious complication leading to irreversible corneal decompensation, has been reported following a wide variety of intraocular surgical procedures.
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