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BMC Ophthalmology
Published in: BMC Ophthalmology 1/2017

Open Access 01-12-2017 | Case report

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

Published in: BMC Ophthalmology | Issue 1/2017

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Abstract

Background

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.

Case presentation

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.

Conclusions

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.
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Metadata
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
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Ophthalmology / Issue 1/2017
Electronic ISSN: 1471-2415
DOI
https://doi.org/10.1186/s12886-017-0506-3

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