Early detection and descemetopexy boon for visual outcome in Descemet’s membrane detachment following cataract surgery

Abstract

To compare results of early intra-operative versus post-operative Descemet’s membrane detachment (DMD) detection and descemetopexy.Data was collected retrospectively for patients who developed DMD from December 2018 to March 2020 and underwent air descemetopexy.: The study comprised of 85 eyes of 85 patients. (which 4 were excluded.) There were 41 males and 39 females. Mean age was 66.93 years (SD ± 12.21). 4 eyes had mild DMD which were excluded from final analysis. 55 eyes had moderate & 26 had severe DMD. 68 eyes had intraoperative descemetopexy (Group 1) and 13 had late detection of DMD with late post-operative descemetopexy (Group 2). Median final BCVA in group 1 was 0.17 logMAR(IQR 0.13) & in group 2 was 0.60 logMAR(IQR 0.22).Air descemetopexy gives acceptable results in cases of DMD. However early detection of DM detachment during primary surgery with early descemetopexy yields better results in visual outcome of patients. Hence, carefulness in detection of intra-operative complications should be kept and early descemetopexy should be considered to prevent severe visual loss due to DMD.