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- Title
An alternative technique for Descemet's membrane detachment following phacoemulsification: case report and review of literature.
- Authors
Yan Weng; Yu-ping Ren; Li Zhang; Xiao-dan Huang; Xing-chao Shen-tu; Weng, Yan; Ren, Yu-Ping; Zhang, Li; Huang, Xiao-Dan; Shen-Tu, Xing-Chao
- Abstract
<bold>Background: </bold>Descemet's membrane detachment (DMD) is one of the most serious complications of modern cataract surgery. We present an alternative technique for management of DMD with a review of the literature on current strategies for the treatment of DMD.<bold>Case Presentation: </bold>A 74-year-old woman developed DMD after phacoemulsification and failed the first descemetopexy with air tamponade. An alternative method was used to drain the pre-descematic fluid and reposition the detached Descemet's membrane in this rare case. This technique involved completely filling the anterior chamber with an intracameral air injection, followed by using a 23-gauge needle to puncture the peripheral cornea to drain the pre-descematic fluid. The Descemet's membrane was completely reattached to the stroma during the follow-up.<bold>Conclusions: </bold>Drainage of pre-descematic fluid combined with intracameral air tamponading was used as an alternative surgical option for the management of this severe case of DMD.
- Subjects
CATARACT surgery; PHACOEMULSIFICATION; CARDIAC tamponade; CORNEA; FIBROSIS
- Publication
BMC Ophthalmology, 2017, Vol 17, p1
- ISSN
1471-2415
- Publication type
journal article
- DOI
10.1186/s12886-017-0506-3