Spontaneous bilateral late-onset Descemet membrane detachment after successful cataract surgery

Gatzioufas, Zisis; Schirra, F.; Löw, U.; Walter, Sebastian; Lang, Martin; Seitz, Berthold

doi:10.1016/j.jcrs.2008.09.034

Cited by 39 publications

(34 citation statements)

References 11 publications

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“…(1)(2)(3) There are a few reports of patients developing delayed Descemet's membrane detachment after phacoemulsification. (4)(5)(6) In our case, OCT was a useful adjunct diagnostic tool for diagnosing Descemet's membrane detachment and demonstrating the anatomic relationship between this complication and the clear corneal wound.…”

Section: Discussionmentioning

confidence: 68%

Delayed Descemet's membrane detachment after successful cataract surgery: a case report

Walsh¹,

Biancardi²,

Crema³

2012

Rev. bras.oftalmol.

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Section: Discussionmentioning

confidence: 68%

Delayed Descemet's membrane detachment after successful cataract surgery: a case report

Walsh¹,

Biancardi²,

Crema³

2012

Rev. bras.oftalmol.

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“…The region of the DMD was reported as being in the central cornea, even involving the whole cornea, or extending centrally from the clear cornea wounds after cataract surgery [1,2,3]. Gatzioufas et al [1] have concluded the possible pathogenesis of bilateral DMD following cataract surgery as surgical trauma, the intrinsic abnormality in the stromal adherence to DM, endothelial dystrophy, and endothelium abnormalities with shallow anterior chambers.…”

Section: Discussionmentioning

confidence: 99%

“…Gatzioufas et al [1] have concluded the possible pathogenesis of bilateral DMD following cataract surgery as surgical trauma, the intrinsic abnormality in the stromal adherence to DM, endothelial dystrophy, and endothelium abnormalities with shallow anterior chambers. In patient No.…”

Section: Discussionmentioning

confidence: 99%

“…Descemet’s membrane detachment (DMD) is a rare complication which mostly occurs after intraocular surgeries, usually in relation to cataract, glaucoma and corneal surgeries such as penetrating keratoplasty (PKP), and deep anterior lamellar keratoplasty (DALK) [1,2,3,4,5,6]. Rupture and subsequent detachment of Descemet’s membrane (DM) may also occur spontaneously in keratoconus and pellucid marginal corneal degeneration [7,8].…”

Section: Introductionmentioning

confidence: 99%

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Anterior Segment OCT-Based Diagnosis and Management of Descemet’s Membrane Detachment

Zhou¹,

Wang²,

Cai³

et al. 2012

Ophthalmologica

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Aims: To evaluate anterior segment optical coherence tomography (AS-OCT) in the diagnosis and treatment of Descemet’s membrane detachment (DMD) with severe corneal edema. Methods: Nine eyes of 7 consecutive patients with suspected DMD with severe corneal edema due to different causes were imaged with the AS-OCT system. Configuration of Descemet’s membrane (DM) was delineated before and after treatment, and quantitative analysis was performed. An appropriate treatment was chosen based on the imaging findings. Results: DMD was demonstrated as being present in all eyes via AS-OCT. Different statuses of the DM including planar/nonplanar detachment, local/extensive detachment, and rupture was documented using AS-OCT images. Two eyes were treated with conservative therapy, 6 eyes with intracameral air/gas tamponade and 1 eye with penetrating keratoplasty. One of the air tamponade treatments failed and all the other treatments were successful. Conclusion: AS-OCT is a valuable tool in the diagnosis of DMD both in terms of selecting the appropriate treatment, and monitoring treatment outcomes when corneal edema is present.

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“…[1][2][3][4][5][6] Dar ön kamara, endotelyal hastalık varlığı, komplikasyonlu veya tekrarlayan cerrahiler, Descemet membran dekolmanının oluşmasında risk faktörü olarak yer alır. [4][5][6][7][8] Descemet membran dekolmanında bazen spontan düzelme görülebilmesine rağmen, tedavide Descemet membranının tekrar yerine yerleştirilmesi önemli yer tutar. [9][10][11][12][13][14] Bu yerleştirme işlemi cerrahi alet manipülasyonu, sütürasyon, ön kamaraya hava veya viskoelastik enjeksiyonu gibi değişik yaklaşımlarla yapılabilmiş olsa da, minimal manipülasyon ile Descemet membranını apoze eden gaz enjeksiyonları en çok tercih edilen yaklaşımdır.…”

Section: Introductionunclassified

Katarakt Ameliyatı Sonrası Akut Kornea Ödeminin Bir Nedeni: Descemet Membran Dekolmanı Ayırıcı Tanısı ve Tedavisi

Selver¹,

Eğrilmez²

2014

tjo

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Olağan seyirle tamamlanmış fakoemülsifikasyon cerrahisi sonrası akut kornea ödemi gelişen bir katarakt olgusunda, Descemet membran dekolmanının ayırıcı tanı ve etkin tedavisini sunmak. Yetmiş iki yaşında kadın hasta, sağ gözde 12 gün önce geçirilmiş olağan seyirli bir fakoemülsifikasyon cerrahisi sonrası postoperatif halen devam eden yoğun kornea ödemi ve görme bozukluğu ile kliniğimize refere edildi. Hastanın görme keskinliği sağ gözde 2 metreden parmak sayma, sol gözde 0,4 düzeyindeydi. Biyomikroskopik muayenede sağ gözde santralde ve medialde daha belirgin olmak üzere yaygın kornea ödemi izlenmekteydi. Sol gözde nükleer skleroz mevcuttu. Göz içi basınçları her iki gözde normaldi. Sistemik sorgusunda arteriyel hipertansiyon öyküsü mevcuttu. Hastaya slit aydınlatma ile tüm kornea alanı taranarak yapılan dikkatli muayene ile medialdeki yan giriş yakınında saptanan Descemet membran dekolmanı ve buna bağlı kornea ödemi tanısı konarak, ön kamaraya perfloropropan (C3F8) enjeksiyonu yapıldı. Enjeksiyonu takip eden 3. günde, kornea endotelinde parasantral Descemet kırışıklıkları dışında kornea saydamdı, sağ gözde görme keskinliği 0,5 düzeyine çıktı. (Turk J Ophthalmol 2014; 44: 486-9) Anah tar Ke li me ler: Descemet membran dekolmanı, korneal ödem, ön kamaraya perfloropropan (C3F8) gaz enjeksiyonu To report the diagnosis and effective treatment of corneal edema due to Descemet's membrane detachment following uneventfully completed phacoemulsification surgery in a case. A 72-year-old female patient was referred to our clinic with a continuing gradual deterioration of vision and diffuse corneal edema in her right eye, 12 days after an uneventful phacoemulsification surgery. Her visual acuity was counting fingers from 2 meters in the right eye and 0.4 in the left eye. Slit lamp examination revealed a corneal edema mostly prominent at the central and medial cornea with a Descemet's membrane detachment near the medial site port area in the right eye. There was a mild nuclear cataract in the left eye. Intraocular pressures were normal in both eyes. The patient had a medical history of arterial hypertension. Descemet's membrane detachment which was close to the medial side port area was detected on a detailed slit lamp examination, and anterior chamber tamponade was performed with perfluoropropane (C3F8) under topical anesthesia. At the third postoperative day, her right eye was comfortable, the corneal epithelial edema had almost cleared, and the Descemet's membrane appeared to be reattached completely with only small wrinkles remaining. Her visual acuity improved to 0.5 in the right eye. (Turk J Ophthalmol 2014; 44: 486-9) Key Words: Descemet's membrane detachment, corneal edema, anterior chamber tamponade with perfluoropropane (C3F8) Özet Summary GirişLiteratürde ilk kez sistematik olarak 1928 yılında Samuels 1 tarafından tanımlanan Descemet membran dekolmanı, katarakt operasyonunu da içine alan çok sayıda oküler cerrahi uygulamasından sonra ortaya çıkabilen bir ön segment patolojisidir. [1][2][3][4][5][6] Dar ön kamara, ...

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Spontaneous bilateral late-onset Descemet membrane detachment after successful cataract surgery

Cited by 39 publications

References 11 publications

Delayed Descemet's membrane detachment after successful cataract surgery: a case report

Delayed Descemet's membrane detachment after successful cataract surgery: a case report

Anterior Segment OCT-Based Diagnosis and Management of Descemet’s Membrane Detachment

Katarakt Ameliyatı Sonrası Akut Kornea Ödeminin Bir Nedeni: Descemet Membran Dekolmanı Ayırıcı Tanısı ve Tedavisi

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