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Case Reports
. 2020 Dec 1:13:673-677.
doi: 10.2147/IMCRJ.S283770. eCollection 2020.

Descemet's Membrane Detachment: An Intraoperative Complication in Cataract Surgery with Phacoemulsification

Ana Luisa González  1 , Fermín Silva  1 , Robinson Barrientos  1 , Fabricio Paredes  1
Affiliations
Case Reports

Descemet's Membrane Detachment: An Intraoperative Complication in Cataract Surgery with Phacoemulsification

Ana Luisa González et al. Int Med Case Rep J. .

Abstract

Descemet's membrane detachment (DMD) is a complication fundamentally associated with cataract surgery, the subclinical presentation being higher than expected. There are many varied treatments, from simple observation to penetrating keratoplasty. We present a case report of a 78-year-old male patient, without comorbidities, who underwent cataract surgery with phacoemulsification plus intraocular lens implantation in the capsular bag of the left eye. During the intraoperative procedure, he presented a DMD (height of 350 um and length of 3 mm in Zone 1 according to the HELP algorithm), managed with adaptive viscoelastic under the soft-shell technique in the same operative act, injection of iso-expansile SF6 (20%) intracameral plus postural positioning for 2 hours carried out 48 hours after surgery plus intensive topical treatment with hypertonic sodium chloride and steroidal anti-inflammatory drugs. At 72 hours after the operation of the application of the gas bubble, he presented with a transparent cornea and a best-corrected visual acuity of 20/80, which finally for his ophthalmological control at 8 weeks presented definitive resolution of the case in the AS-OCT and with a BCVA of 20/30.

Keywords: anterior segment coherence tomography; descemet membrane detachment; ultrabiomicroscopy.

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Conflict of interest statement

The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
(A) You can see the separation and detachment of the Descemet membrane. (B) Soft-shell technique was performed to protect the endothelium.
Figure 2
Figure 2
Descemet´s membrane detached in a central and peripheral pendant wavy shape, with stromal edema.
Figure 3
Figure 3
(A) In postoperative clear cornea, with gas bubble present. (B) AS -OCT- adhered Descemet membrane.
Figure 4
Figure 4
At 8 weeks after gas bubble application, the Descemet membrane remained adhered.
See this image and copyright information in PMC

References

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