Combined Continued Air Pumping And Descemetotomy In Post- Phacoemulsification Descemet´s Membrane Detachment | ||||
| Zagazig University Medical Journal | ||||
| Article 37, Volume 30, Issue 1.7, October 2024, Page 4112-4126 PDF (691.39 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/zumj.2023.219646.2815 | ||||
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| Authors | ||||
ayman MA elsayed  1; ahmed Gad2; ayman lotfy1
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| 1zagazig university | ||||
| 2zagagzig university | ||||
| Abstract | ||||
| Purpose: The aim of this work was to evaluate the efficacy of combined continued air pumping and descemetotomy in management of severe post- phacoemulsification Descemet membrane detachment (DMD). Patients and methods: This study is an interventional study that included 7 eyes of 7 patients who presented with post phacoemulsification corneal edema due to Severe DMD. Results: The age of the patients at the time of surgery ranged from 61 to 73 years (mean age 66.7 ± 4.27 years). Best corrected visual acuity (BCVA) was improved from 0.076 ± 0.04 preoperatively to 0.53 ± 0.18 six months postoperatively. This difference was statistically significant (P value < 0.05). In all cases the Descemet membrane was completely attached all through the postoperative follow up period which ranged from 6 to 9 months (7.4 ± 1 months). The Central Corneal Thickness CCT was significantly reduced from 874.3 ± 101 um preoperatively to 543 ± 38.6 um six months postoperatively. No hypotony or endophthalmitis were reported. Conclusion: Combined continued air pumping and descemetotomy is an effective surgical technique in management of large post- phacoemulsification DMD. | ||||
| Keywords | ||||
| descemetotomy; air pumping; phacoemulsification; Descemet´ s membrane; corneal edema | ||||
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