Successful Treatment of Post-Phacoemulsification Descemet ’s Membrane Detachment Assessed by Anterior Segment Optical Coherence Tomography: A Case Report

Descemet ’s membrane detachment (DMD) is a rare but serious complication of phacoemulsification surgery. A small DMD may resolve spontaneously, but extensive DMD often requires intracameral injection of air, nonexpansile gases, or expansile gases. A 92-year-old man who underwent phacoemulsification and asp iration with intraocular lens placement in the right eye had significantly reduced visual acuity, with a hazy cornea after surgery. Anterior segment optical coherence tomography (AS-OCT) examination revealed extensive DMD throughout the cornea. He was treated with intracameral injection of 20% sulfu r hexafluoride. As a result, the Descemet membrane was successfully reattached, and the corneal edema resolved. AS-OCT was helpful in confirming the presence and extent of DMD, provided useful information to determine the appropriate treatment, and was useful for monitoring DMD.Case Rep Ophthalmol 2021;12:611 –615

Source: Case Reports in Ophthalmology - July 5, 2021 Category: Opthalmology Source Type: research