DESCEMET'S MEMBRANE DETACHMENT: AN OVERLOOKED CAUSE OF POST CATARACT SURGERY PERSISTENT CORNEAL EDEMA | ||||
| Egyptian Journal of Clinical Ophthalmology | ||||
| Article 3, Volume 7, Issue 1, June 2024, Page 19-23 PDF (197.77 K) | ||||
| Document Type: Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations | ||||
| DOI: 10.21608/ejco.2024.361185 | ||||
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| Authors | ||||
| Omar, A.1; Aly, M.2; Abdou, A.2 | ||||
| 1Ophthalmology dept., Assiut University School of Medicine, Assiut, Egypt. University Hospitals Eye Institute and the Ophthalmology and Visual Sciences dept., Case Western Reserve Univ. School of Medicine, Cleveland, Ohio. | ||||
| 2Ophthalmology dept., Assiut University School of Medicine, Assiut, Egypt. University | ||||
| Abstract | ||||
| Background: To report varying presentations of Descemet membrane detachment (DMD). Methods: Ten cases were referred for management of persistent corneal edema (7 eyes - group 1) and corneal scarring (3 eyes - group 2). All cases in group 1 had corneal edema and central DMD at presentation by slit lamp bio microscopy. One eye in group 2 presented 3 months after cataract surgery with visible DMD despite significant corneal scarring. Two eyes had dense corneal scarring with no visible DMD 1 year after cataract surgery. Group 1 underwent air descemetopexy and group 2 underwent penetrating keratoplasty (PK). Four cases had Fuchs endothelial corneal dystrophy (FECD) in the other eye. Results: All eyes in group 1 had successful reattachment of DM after air descemetopexy with recurrence of DMD in one case which presented 2 months after cataract surgery. This case was successfully treated with another air injection. All eyes in group 1 had resolution of the corneal edema with clear corneas postoperatively. In group 2, DMD was discovered intraoperatively in one eye during PK and another eye postoperatively. All corneal grafts in group 2 were clear until the submission of this manuscript (1-2 years postoperatively) with no complications. Conclusion: DMD is a frequently overlooked cause of post cataract surgery corneal edema. Early management of DMD with air descemetopexy within 2 months postoperatively can achieve excellent results. | ||||
| Keywords | ||||
| DMD; Cataract; Corneal edema; Air injection | ||||
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