Abstract
Purpose:To report the indications, anatomical outcomes, functional outcomes and limitations of descemetopexy with intracameral injection of isoexpansile perfluoropropane (14% C3F8) in eyes with Descemet's membrane (DM) detachment after cataract surgery.Methods:This retrospective non-comparative interventional case series included 67 eyes of 67 patients who underwent descemetopexy at a tertiary eye hospital. The procedure consisted of descemet's membrane reattachment by injecting isoexpansile perfluoropropane (14% C3F8)intracamerally. Outcome measures were reattachment of DM, improvement in visual acuity, resolution of corneal edema, causes for failure of DM reattachment and complications.Results:Sixty-seven eyes of 74 patients were analyzed. Phacoemulsification (56.71%) had the highest DM detachment as compared to manual SICS in 19 (28.36%) and ECCE in 10 (14.93%) eyes. Descemetopexy with 14% C3F8 resulted in anatomical reattachment of DM in 71.64% and functional improvement in visual acuity in 74.63% of treated eyes. The location and the extent of DM detachment did not influence DM reattachment. Complete reattachment of DM occurred in all 26 eyes (100%) with planar type detachments, whereas with non-planar type detachments only 22 eyes (53.7%) achieved complete reattachment.Conclusion:Descemetopexy with isoexpansile perfluoropropane offers good surgical outcomes regarding visual acuity and resolution of corneal edema.
Highlights
Descemet’s membrane (DM) detachment is an uncommon condition with a wide range of etiologies; the most common being a localized detachment occurring during cataract surgery.[1,2] As clear cornea incision cataract surgery has become popular, increased surgicalReceived: 13-02-2015Accepted: 27-09-2015Access this article onlineQuick Response Code: Website: www.jovr.org manipulation at the peripheral border of DM seems to have increased the prevalence of DM detahment.[2]
In the present case series, we report the indications, anatomical and functional outcomes, and limitations of descemetopexy using an intracameral injection of isoexpansile perfluoropropane (14% C3F8) in eyes with DM detachment following cataract surgery
The study included all eyes that had undergone descemetopexy with isoexpansile perfluoropropane (14% C3F8) injection for DM detachment and significant corneal edema within one week after cataract surgery or corneal edema that persisted later than one week of conservative management with hypertonic saline and topical steroids
Summary
Descemet’s membrane (DM) detachment is an uncommon condition with a wide range of etiologies; the most common being a localized detachment occurring during cataract surgery.[1,2] As clear cornea incision cataract surgery has become popular, increased surgicalReceived: 13-02-2015Accepted: 27-09-2015Access this article onlineQuick Response Code: Website: www.jovr.org manipulation at the peripheral border of DM seems to have increased the prevalence of DM detahment.[2]. As the natural history and prognosis of DM detachment is unclear, appropriate timing and effective intervention for this complication has been an area of controversy.
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