Subjects
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-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.
DOI
10.21608/ejco.2024.361185
Keywords
DMD, Cataract, Corneal edema, Air injection
Authors
MiddleName
-Affiliation
Ophthalmology 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.
Email
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-MiddleName
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Ophthalmology dept., Assiut University School of Medicine, Assiut, Egypt. University
Email
-City
-Orcid
-MiddleName
-Affiliation
Ophthalmology dept., Assiut University School of Medicine, Assiut, Egypt. University
Email
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-Link
https://ejco.journals.ekb.eg/article_361185.html
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https://ejco.journals.ekb.eg/service?article_code=361185
Type
Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations
Publication Title
Egyptian Journal of Clinical Ophthalmology
Publication Link
https://ejco.journals.ekb.eg/
MainTitle
DESCEMET'S MEMBRANE DETACHMENT: AN OVERLOOKED CAUSE OF POST CATARACT SURGERY PERSISTENT CORNEAL EDEMA