Yonsei Med J.  2005 Oct;46(5):719-723. 10.3349/ymj.2005.46.5.719.

Three Cases of Descemet's Membrane Detachment after Cataract Surgery

• Kim IS
• Shin JC
• Im CY
• Kim EK

• KMID: 2158156
• DOI: http://doi.org/10.3349/ymj.2005.46.5.719

Abstract

Descemet's membrane detachment (DMD) is an uncommon condition with a wide range of etiologies. More than likely, the most common cause is a localized detachment occurring after cataract surgery. We report three cases of Descemet's membrane detachment that occurred after uncomplicated phacoemulsification cataract surgeries. The first patient was managed without surgical intervention, the second patient was treated using an intracameral air injection, and the last patient was treated with an intracameral perfluoropropane (C3F8) gas injection. All three patients recovered their vision following the reattachment of Descemet's membrane. The three patients were treated according to the extent of the detachment.

Keyword

Descemet's membrane detachment; cataract; C3F8

MeSH Terms

Visual Acuity
Middle Aged
Male
Humans
Female
Descemet Membrane/*pathology
Corneal Diseases/*therapy
Cataract Extraction/*adverse effects
Aged

Figure

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  Fig. 1 A small Descemet's membrane detachment in the superonasal area.

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  Fig. 2 A. A large Descemet's membrane detachment after cataract surgery. B. Anterior chamber air injection was done to help reattach Descemet's membrane.

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  Fig. 3 A. A large Descemet's membrane detachment. B. C3F8 gas injection was done to help reattach Descemet's membrane.

Reference

1. Marcon AS, Rapuano CJ, Jones MR, Laibson PR, Cohen EJ. Descemet's membrane detachment after cataract surgery: management and outcome. Ophthalmology. 2002. 109:2325–2330.

2. Kim T, Hasan SA. A new technique for repairing descemet's membrane detachments using intracameral gas injection. Arch Ophthalmol. 2002. 120:181–183.

3. Zeiter HJ, Zeiter JT. Descemet's membrane separation during five hundred forty-four intraocular lens implantations. 1975-1982. J Am Intraocul Implant Soc. 1983. 9:36–39.

4. Makley TA Jr, Keates RH. Detachment of Descemet's membrane with insertion of an intraocular lens. Ophthalmic Surg. 1980. 11:492–494.

5. Mackool RJ, Holtz SJ. Descemet's membrane detachment. Arch Ophthalmol. 1977. 95:459–463.

6. Iradier MT, Moreno E, Aranguez C, Cuevas J, Garcia Feijoo J, Garcia Sanchez J. Late spontaneous resolution of a massive detachment of Descemet's membrane after phacoemulsification. J Cataract Refract Surg. 2002. 28:1071–1073.

7. Anderson CJ. Gonioscopy in no-stitch cataract incisions. J Cataract Refract Surg. 1993. 19:620–621.

8. Mulhern M, Barry P, Condon P. A case of Descemet's membrane detachment during phacoemulsificaton surgery. Br J Ophthalmol. 1996. 80:185–186.

9. Maar N, Graebe A, Schild G, Stur M, Amon M. Influence of viscoelastic substances used in cataract surgery on corneal metabolism and endothelial morphology: comparison of Healon and Viscoat. J Cataract Refract Surg. 2001. 27:1756–1761.

10. Behndig A, Lundberg B. Transient corneal edema after phacoemulsification: comparison of 3 viscoelastic regimens. J Cataract Refract Surg. 2002. 28:1551–1556.

11. Kim EK, Cristol SM, Kang SJ, Edelhauser HF, Kim HL, Lee JB. Viscoelastic protection from endothelial damage by air bubbles. J Cataract Refract Surg. 2002. 28:1047–1053.