Document Type
Article
Publication Date
12-23-2022
Abstract
Purpose: To report 5 patients with late Descemet membrane (DM) detachment after uneventful cataract surgery.
Observations: After a retrospective chart analysis of consecutive patients that developed DM detachment after uneventful cataract surgery, six eyes of five patients were enrolled. In all cases, patients reported good vision initially after cataract surgery. Within days to months, these patients developed late DM detachment with decreased vision. In one patient, the detachment affected both eyes. Filtered air or diluted sulfur hexafluoride were injected in the anterior chamber to tamponade the DM detachment. In five eyes, the cornea cleared after DM reattachment. In two eyes of the same patient, DM reattached spontaneously requiring no further surgical intervention. In one patient, the Descemet failed to reattach and required an endothelial keratoplasty.
Conclusion and importance: Descemet membrane detachment may occur after uneventful cataract surgery. Filtered air or long-lasting intraocular gas may be used to reattach DM. Spontaneous DM reattachment may also occur and surgeons should be aware of this to avoid unnecessary procedures.
Recommended Citation
Trindade, Lovaglio Cançado; Attanasio de Rezende, Renata; Bisol, Tiago; and Rapuano, Christopher J, "Late Descemet Membrane Detachment After Uneventful Cataract Surgery" (2022). Wills Eye Hospital Papers. Paper 175.
https://jdc.jefferson.edu/willsfp/175
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
PubMed ID
36632336
Language
English
Comments
This article is the author’s final published version in American Journal of Ophthalmology Case Reports, Volume 29, December 2022, Article number 101783.
The published version is available at https://doi.org/10.1016/j.ajoc.2022.101783. Copyright © Trindade et al.