Descemet's Membrane Detachment by Sodium Hyaluronate

Descemet Membrane Detachment During Foldable Intraocular Lens Implantation

“…Although small DM detachments can be observed for spontaneous resolution, 10 it is prudent to intervene surgically in large, nonplanar DM detachments to prevent permanent loss of vision. 24 Internal tamponading using air 19 or an isoexpansile gas such as SF6 22 and C3F8 2,6,26 is the most commonly performed surgical interventions. In addition, DM suturing 17 and the use of viscoelastic 22 for repositioning of DM have also been described.…”

“…In addition to cataract surgery, it has been reported to occur after iridectomy, 5 trabeculectomy, 12 viscocanalostomy, 13 penetrating keratoplasty, 14 lamellar keratoplasty, 15 pars plana vitrectomy, 16 and during insertion of foldable and nonfoldable IOL. [17][18][19] Occurrence of DMD after phacoemulsification has been attributed to various factors including shallow anterior chamber, 20 accidental insertion of the instruments between the stroma and the DM, use of blunt microkeratomes, 21 shelved incisions, 22 anteriorly placed incisions, 23 or inadvertent injection of saline, 3 viscoelastic, 19,22,24 or prophylactic antibiotics into the space between the deep stroma and the DM. 25 As compared with manual extracapsular cataract extraction, phacoemulsification requires repeated manipulations at the edge of the incision, secondary to introducing the instrument in and out of the anterior chamber.…”

Descemet Membrane Detachment During Foldable Intraocular Lens Implantation

“…Although small DM detachments can be observed for spontaneous resolution, 10 it is prudent to intervene surgically in large, nonplanar DM detachments to prevent permanent loss of vision. 24 Internal tamponading using air 19 or an isoexpansile gas such as SF6 22 and C3F8 2,6,26 is the most commonly performed surgical interventions. In addition, DM suturing 17 and the use of viscoelastic 22 for repositioning of DM have also been described.…”

“…In addition to cataract surgery, it has been reported to occur after iridectomy, 5 trabeculectomy, 12 viscocanalostomy, 13 penetrating keratoplasty, 14 lamellar keratoplasty, 15 pars plana vitrectomy, 16 and during insertion of foldable and nonfoldable IOL. [17][18][19] Occurrence of DMD after phacoemulsification has been attributed to various factors including shallow anterior chamber, 20 accidental insertion of the instruments between the stroma and the DM, use of blunt microkeratomes, 21 shelved incisions, 22 anteriorly placed incisions, 23 or inadvertent injection of saline, 3 viscoelastic, 19,22,24 or prophylactic antibiotics into the space between the deep stroma and the DM. 25 As compared with manual extracapsular cataract extraction, phacoemulsification requires repeated manipulations at the edge of the incision, secondary to introducing the instrument in and out of the anterior chamber.…”

Descemet’s membrane detachment after cataract extraction surgery

“…By contrast, large detachments can cause long-standing corneal edema, which in turn may result in permanent damage to the cornea and, subsequently, a visual handicap [21]. The management of DMD may be either medical or surgical, depending on its extent and/or severity.…”

“…Many spontaneously re-attached cases after DMD have attained excellent corneal transparency, good visual acuity, and adequate endothelial viability. Studies have suggested that the corneal endothelium can maintain its integrity and then resume its function, despite being isolated from the corneal stroma for several months, because the endothelium receives its glucose, other nutrients, and the majority of its oxygen supply from the aqueous humor [6,21].…”

“…It usually occurs at the incision site and can progress toward the central cornea. Various mechanisms have been implicated in the pathogenesis of DMD, including a shallow anterior chamber [1], use of blunt microkeratomes [17], shelved [18] and/or anteriorly [19] placed incisions, engagement of DM during intraocular lens implantation [20], the inadvertent injection of saline [13] or viscoelastic materials [18,20,21] into the space between the deep stroma and the DM, surgical cases with a high degree of difficulty, and surgeon inexperience [22].…”

Descemet Membrane Detachment During Foldable Intraocular Lens Implantation

“…Although small DM detachments can be observed for spontaneous resolution, 10 it is prudent to intervene surgically in large, nonplanar DM detachments to prevent permanent loss of vision. 24 Internal tamponading using air 19 or an isoexpansile gas such as SF6 22 and C3F8 2,6,26 is the most commonly performed surgical interventions. In addition, DM suturing 17 and the use of viscoelastic 22 for repositioning of DM have also been described.…”

“…In addition to cataract surgery, it has been reported to occur after iridectomy, 5 trabeculectomy, 12 viscocanalostomy, 13 penetrating keratoplasty, 14 lamellar keratoplasty, 15 pars plana vitrectomy, 16 and during insertion of foldable and nonfoldable IOL. [17][18][19] Occurrence of DMD after phacoemulsification has been attributed to various factors including shallow anterior chamber, 20 accidental insertion of the instruments between the stroma and the DM, use of blunt microkeratomes, 21 shelved incisions, 22 anteriorly placed incisions, 23 or inadvertent injection of saline, 3 viscoelastic, 19,22,24 or prophylactic antibiotics into the space between the deep stroma and the DM. 25 As compared with manual extracapsular cataract extraction, phacoemulsification requires repeated manipulations at the edge of the incision, secondary to introducing the instrument in and out of the anterior chamber.…”

Descemet’s membrane detachment after cataract extraction surgery

“…By contrast, large detachments can cause long-standing corneal edema, which in turn may result in permanent damage to the cornea and, subsequently, a visual handicap [21]. The management of DMD may be either medical or surgical, depending on its extent and/or severity.…”

“…Many spontaneously re-attached cases after DMD have attained excellent corneal transparency, good visual acuity, and adequate endothelial viability. Studies have suggested that the corneal endothelium can maintain its integrity and then resume its function, despite being isolated from the corneal stroma for several months, because the endothelium receives its glucose, other nutrients, and the majority of its oxygen supply from the aqueous humor [6,21].…”

“…It usually occurs at the incision site and can progress toward the central cornea. Various mechanisms have been implicated in the pathogenesis of DMD, including a shallow anterior chamber [1], use of blunt microkeratomes [17], shelved [18] and/or anteriorly [19] placed incisions, engagement of DM during intraocular lens implantation [20], the inadvertent injection of saline [13] or viscoelastic materials [18,20,21] into the space between the deep stroma and the DM, surgical cases with a high degree of difficulty, and surgeon inexperience [22].…”

Descemet Membrane Detachment During Foldable Intraocular Lens Implantation

“…Although small DM detachments can be observed for spontaneous resolution, 10 it is prudent to intervene surgically in large, nonplanar DM detachments to prevent permanent loss of vision. 24 Internal tamponading using air 19 or an isoexpansile gas such as SF6 22 and C3F8 2,6,26 is the most commonly performed surgical interventions. In addition, DM suturing 17 and the use of viscoelastic 22 for repositioning of DM have also been described.…”

“…In addition to cataract surgery, it has been reported to occur after iridectomy, 5 trabeculectomy, 12 viscocanalostomy, 13 penetrating keratoplasty, 14 lamellar keratoplasty, 15 pars plana vitrectomy, 16 and during insertion of foldable and nonfoldable IOL. [17][18][19] Occurrence of DMD after phacoemulsification has been attributed to various factors including shallow anterior chamber, 20 accidental insertion of the instruments between the stroma and the DM, use of blunt microkeratomes, 21 shelved incisions, 22 anteriorly placed incisions, 23 or inadvertent injection of saline, 3 viscoelastic, 19,22,24 or prophylactic antibiotics into the space between the deep stroma and the DM. 25 As compared with manual extracapsular cataract extraction, phacoemulsification requires repeated manipulations at the edge of the incision, secondary to introducing the instrument in and out of the anterior chamber.…”

Descemet’s membrane detachment after cataract extraction surgery

“…By contrast, large detachments can cause long-standing corneal edema, which in turn may result in permanent damage to the cornea and, subsequently, a visual handicap [21]. The management of DMD may be either medical or surgical, depending on its extent and/or severity.…”

“…Many spontaneously re-attached cases after DMD have attained excellent corneal transparency, good visual acuity, and adequate endothelial viability. Studies have suggested that the corneal endothelium can maintain its integrity and then resume its function, despite being isolated from the corneal stroma for several months, because the endothelium receives its glucose, other nutrients, and the majority of its oxygen supply from the aqueous humor [6,21].…”

“…It usually occurs at the incision site and can progress toward the central cornea. Various mechanisms have been implicated in the pathogenesis of DMD, including a shallow anterior chamber [1], use of blunt microkeratomes [17], shelved [18] and/or anteriorly [19] placed incisions, engagement of DM during intraocular lens implantation [20], the inadvertent injection of saline [13] or viscoelastic materials [18,20,21] into the space between the deep stroma and the DM, surgical cases with a high degree of difficulty, and surgeon inexperience [22].…”