CASE OF DESCEMET MEMBRANE DETACHMENT POST-CATARACT SURGERY
Abstract
Descemet Membrane Detachment is a vision-threatening complication of Cataract Surgery. If not treated promptly it can lead to serious vision impairment with the possible need for corneal transplantation. We present a case report of a 60 years old female who presented with blurry vision post phacoemulsification and lens placement after a cataract in the left eye. She was diagnosed with Descemet membrane detachment on slit-lamp examination that was confirmed on Anterior-segment Optical Coherence Tomography and treated with intracameral 20% SF6 injection. There was a marked improvement in her vision with complete resolution of corneal oedema. Conclusion: Anterior Segment OCT can be used as a diagnostic tool to accurately ascertain the site and extent of detachment and monitor disease progress. 20% Sulfur-hexafluoride intracameral injection can be used as a surgical option for large, central detachments.Keywords: Descemet Membrane, Cataract, Tomography Optical Coherence, Corneal OpacityReferences
Samarawickrama C, Beltz J, Chan E. Descemet’s membrane detachments post cataract surgery: a management paradigm. Int J Ophthalmol 2016;9(12):1839–42.
Monroe WM. Gonioscopy after cataract extraction. South Med J 1971;64(9):1122–4.
Chow VWS, Agarwal T, Vajpayee RB, Jhanji V. Update on diagnosis and management of Descemet’s membrane detachment. Curr Opin Ophthalmol 2013;24(4):356–61.
Bhatia HK, Gupta R. Delayed-onset descemet membrane detachment after uneventful cataract surgery treated by corneal venting incision with air tamponade: A case report. BMC Ophthalmol 2016;16(1):35.
Guo P, Pan Y, Zhang Y, Tighe S, Zhu Y, Li M, et al. Study on the classification of descemet membrane detachment after cataract surgery with AS-OCT. Int J Med Sci 2018;15(11):1092–7.
Moutsouris K, Dapena I, Ham L, Balachandran C, Oellerich S, Melles GRJ. Optical coherence tomography, scheimpflug imaging, and slit-lamp biomicroscopy in the early detection of graft detachment after descemet membrane endothelial keratoplasty. Cornea 2011;30(12):1369–75.
Mackool RJ, Holtz SJ. Descemet membrane detachment. Arch Ophthalmol 1977;95(3):459–63.
Mulhern M, Barry P, Condon P. A case of Descemet’s membrane detachment during phacoemulsificaton surgery. Br J Ophthalmol 1996;80(2):185–6.
Published
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.
