Descemet Membrane Detachment During Foldable Intraocular Lens Implantation

Abstract

Our case report highlights the potential complication of DM detachment during insertion of foldable IOL. We performed stab incisions in the pre-DM space to achieve quick and successful repositioning of the detached DM with favorable results.

Descemet Membrane Detachment Due to Laser Application in Femtosecond Laser–Assisted Cataract Surgery: Incidence and Risk Factors

“…Descemet membrane detachment has been previously described as a complication of various intraocular surgeries and is mainly associated with inadequate surgical technique or individual patient susceptibility. [9][10][11][12][13][14][15][16] There are few case reports on detachments that occurred as the femtosecond laser was being fired to perform one of the corneal incisions in FLACS. 3,4 In the current study, we assessed the incidence of this complication and the possible associated risk factors.…”

Descemet Membrane Detachment Due to Laser Application in Femtosecond Laser–Assisted Cataract Surgery: Incidence and Risk Factors

“…Descemet membrane detachment has been previously described as a complication of various intraocular surgeries and is mainly associated with inadequate surgical technique or individual patient susceptibility. [9][10][11][12][13][14][15][16] There are few case reports on detachments that occurred as the femtosecond laser was being fired to perform one of the corneal incisions in FLACS. 3,4 In the current study, we assessed the incidence of this complication and the possible associated risk factors.…”

Tractional Descemet’s membrane detachment after ocular alkali burns: case reports and review of literature

“…In iatrogenic cases, DMD may arise as a result of direct contact between the corneal endothelium and surgical instruments. [ 7 – 11 ] In cases with chemical injuries, the cause of DMD remains unclear, which may due to limited cases reported in literature. Table 1 summarize the characters and proposed mechanism of the cases reported in literature and current article.…”

Intraoperative OCT assisted descemetopexy with stromal vent incisions and intracameral gas injection for case of non-resolving Descemet's membrane detachment

“…DMD is an entity which has been described as a complication following intraocular procedures5–7 such as cataract surgeries, trabeculectomy, cyclodialysis, surgical iridectomies6 and following deep anterior lamellar keratoplasties (DALK) 8. The common causes for DMD during or following a cataract surgery include inappropriate incision construction in the anterior clear cornea, use of blunt blades for incision construction, excessive manipulation and instrumentation, intraoperative shallowing of anterior chamber, misdirection of cannulas while injecting intracameral drugs or viscoelastics and difficult IOL insertion 9. In the present case, the risk factor was probably related to prolonged duration of surgery as per the clinical history which suggests extensive manipulation and instrumentation as a potential cause of DMD.…”

Descemet Membrane Detachment Due to Laser Application in Femtosecond Laser–Assisted Cataract Surgery: Incidence and Risk Factors

“…Descemet membrane detachment has been previously described as a complication of various intraocular surgeries and is mainly associated with inadequate surgical technique or individual patient susceptibility. [9][10][11][12][13][14][15][16] There are few case reports on detachments that occurred as the femtosecond laser was being fired to perform one of the corneal incisions in FLACS. 3,4 In the current study, we assessed the incidence of this complication and the possible associated risk factors.…”

Tractional Descemet’s membrane detachment after ocular alkali burns: case reports and review of literature

“…In iatrogenic cases, DMD may arise as a result of direct contact between the corneal endothelium and surgical instruments. [ 7 – 11 ] In cases with chemical injuries, the cause of DMD remains unclear, which may due to limited cases reported in literature. Table 1 summarize the characters and proposed mechanism of the cases reported in literature and current article.…”

Intraoperative OCT assisted descemetopexy with stromal vent incisions and intracameral gas injection for case of non-resolving Descemet's membrane detachment

“…DMD is an entity which has been described as a complication following intraocular procedures5–7 such as cataract surgeries, trabeculectomy, cyclodialysis, surgical iridectomies6 and following deep anterior lamellar keratoplasties (DALK) 8. The common causes for DMD during or following a cataract surgery include inappropriate incision construction in the anterior clear cornea, use of blunt blades for incision construction, excessive manipulation and instrumentation, intraoperative shallowing of anterior chamber, misdirection of cannulas while injecting intracameral drugs or viscoelastics and difficult IOL insertion 9. In the present case, the risk factor was probably related to prolonged duration of surgery as per the clinical history which suggests extensive manipulation and instrumentation as a potential cause of DMD.…”

Descemet Membrane Detachment Due to Laser Application in Femtosecond Laser–Assisted Cataract Surgery: Incidence and Risk Factors

“…Descemet membrane detachment has been previously described as a complication of various intraocular surgeries and is mainly associated with inadequate surgical technique or individual patient susceptibility. [9][10][11][12][13][14][15][16] There are few case reports on detachments that occurred as the femtosecond laser was being fired to perform one of the corneal incisions in FLACS. 3,4 In the current study, we assessed the incidence of this complication and the possible associated risk factors.…”

Tractional Descemet’s membrane detachment after ocular alkali burns: case reports and review of literature

“…In iatrogenic cases, DMD may arise as a result of direct contact between the corneal endothelium and surgical instruments. [ 7 – 11 ] In cases with chemical injuries, the cause of DMD remains unclear, which may due to limited cases reported in literature. Table 1 summarize the characters and proposed mechanism of the cases reported in literature and current article.…”

Intraoperative OCT assisted descemetopexy with stromal vent incisions and intracameral gas injection for case of non-resolving Descemet's membrane detachment

“…DMD is an entity which has been described as a complication following intraocular procedures5–7 such as cataract surgeries, trabeculectomy, cyclodialysis, surgical iridectomies6 and following deep anterior lamellar keratoplasties (DALK) 8. The common causes for DMD during or following a cataract surgery include inappropriate incision construction in the anterior clear cornea, use of blunt blades for incision construction, excessive manipulation and instrumentation, intraoperative shallowing of anterior chamber, misdirection of cannulas while injecting intracameral drugs or viscoelastics and difficult IOL insertion 9. In the present case, the risk factor was probably related to prolonged duration of surgery as per the clinical history which suggests extensive manipulation and instrumentation as a potential cause of DMD.…”