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CASE REPORT
Venting incision of cornea and intracameral air repairs Descemet membrane detachment three months after phacoemulsification surgery
1
Department of Ophthalmology, National University of Malaysia Medical Centre, Kuala Lumpur, Malaysia
2
Muthusamy Virtual University
3
Wong Yiing Cheong Specialist Eye Centre, Kuala Lumpur, Malaysia
4
Gleneagles Hospital Kuala Lumpur, Kuala Lumpur, Malaysia
Submission date: 2019-02-19
Final revision date: 2020-02-05
Acceptance date: 2020-02-05
Online publication date: 2020-05-26
Corresponding author
Mae-Lynn Catherine Bastion
Department of Ophthalmology, National University of Malaysia Medical Centre, Jalan Yaacob Latif, 56000 Kuala Lumpur, Malaysia. Tel.: 60391455983.
Department of Ophthalmology, National University of Malaysia Medical Centre, Jalan Yaacob Latif, 56000 Kuala Lumpur, Malaysia. Tel.: 60391455983.
Pol. Ann. Med. 2021;28(1):62-67
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Cataract surgery is one of the most commonly performed operations in the world. Descemet membrane detachment (DMD) is a potentially blinding complication of this operation.
Aim:
To describe the successful treatment of DMD three months after initial surgery.
Case study:
Retrospective case review.
Results and discussion:
A 69-year-old bilateral pseudophakic man presented with persistent blurring of vision in his left eye despite having undergone left eye cataract surgery for phacomorphic glaucoma 10 weeks previously. Examination and anterior segment optical coherence tomography (AS-OCT) showed left descemet detachment involving the visual axis. Despite the long duration, he underwent left cornea venting incision combined with intracameral air injection which successfully improved the cornea clarity and reattached the descemet on AS-OCT. When this was combined with treatment for cystoid macula oedema, he was able to attain best corrected visual acuity of 6/6-2, N5 3 months after the cornea venting procedure.
Conclusions:
Treatment with cornea venting incision combined with air injection is an effective method of reattaching the descemet membrane in late presentation of DMD.
Cataract surgery is one of the most commonly performed operations in the world. Descemet membrane detachment (DMD) is a potentially blinding complication of this operation.
Aim:
To describe the successful treatment of DMD three months after initial surgery.
Case study:
Retrospective case review.
Results and discussion:
A 69-year-old bilateral pseudophakic man presented with persistent blurring of vision in his left eye despite having undergone left eye cataract surgery for phacomorphic glaucoma 10 weeks previously. Examination and anterior segment optical coherence tomography (AS-OCT) showed left descemet detachment involving the visual axis. Despite the long duration, he underwent left cornea venting incision combined with intracameral air injection which successfully improved the cornea clarity and reattached the descemet on AS-OCT. When this was combined with treatment for cystoid macula oedema, he was able to attain best corrected visual acuity of 6/6-2, N5 3 months after the cornea venting procedure.
Conclusions:
Treatment with cornea venting incision combined with air injection is an effective method of reattaching the descemet membrane in late presentation of DMD.
FUNDING
None declared.
CONFLICT OF INTEREST
No conflict of interest.
REFERENCES (12)
1.
Assia EI, Levkovich-Verbin H, Blumenthal M. Management of Descemet’s membrane detachment. J Cataract Refract Surg. 1995;21(6):714–717. https://doi.org/10.1016/S0886-....
2.
Macsai MS, Gainer KM, Chisholm L. Repair of Descemet’s membrane detachment with perfluoropropane (C3F8). Cornea. 1998;17(2):129–134. https://doi.org/10.1097/000032....
3.
Odayappan A, Shivananda N, Ramakrishnan S, Krishnan T, Nachiappan S, Krishnamurthy S. A retrospective study on the incidence of post-cataract surgery Descemet’s membrane detachment and outcome of air descemetopexy. Br J Ophthalmol. 2018;102(2):182–186. https://doi.org/10.1136/bjopht....
4.
Gatzioufas Z, Schirra F, Löw U, Walter S, Lang M, Seitz B. Spontaneous bilateral late-onset Descemet membrane detachment after successful cataract surgery. J Cataract Refract Surg. 2009;35(4):778–7781. https://doi.org/10.1016/j.jcrs....
5.
Morkin MI, Hussain RM, Young RC, Ravin T, Dubovy SR, Alfonso EC. Unusually delayed presentation of persistent Descemet’s membrane tear and detachment after cataract surgery. Clin Ophthalmol. 2014;8:1629–1632. https://doi.org/10.2147/OPTH.S....
6.
Weng Y, Ren YP, Zhang L, Huang XD, Shen-Tu XC. An alternative technique for Descemet’s membrane detachment following phacoemulsification: case report and review of literature. BMC Ophthalmol. 2017;29:17(1):109. https://doi.org/10.1186/s12886....
7.
Kansal S, Sugar J. Consecutive Descemet membrane detachment after successive phacoemulsification. Cornea. 2001;20(6):670–671. https://doi.org/10.1097/000032....
8.
Sonmez K, Ozcan PY, Altintas AG. Surgical repair of scrolled descemet’s membrane detachment with intracameral injection of 1.8% sodium hyaluronate. Int Ophthalmol. 2011;31(5):421–423. https://doi.org/10.1007/s10792....
9.
Ellis DR, Cohen KL. Sulfur hexafluoride gas in the repair of Descemet’s membrane detachment. Cornea. 1995;14(4):436–437. https://doi.org/10.1097/000032... .
10.
Jain R, Murthy SI, Basu S, Ali MH, Sangwan VS. Anatomic and visual outcomes of descemetopexy in post-cataract surgery descemet’s membrane detachment. Ophthalmology. 201l;120(7):1366-72. https://doi.org/10.1016/j.opht....
11.
Sharma N, Gupta S, Maharana P, Shanmugam P, Nagpal R, Vajpayee RB. Anterior Segment Optical Coherence Tomography-Guided Management Algorithm for Descemet Membrane Detachment After Intraocular Surgery. Cornea. 2015;34(9):1170–1174. https://doi.org/10.1097/ICO.00....
12.
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;16:35. https://dx.doi.org/10.1186%2Fs....
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