Management of Bilateral Descemet’s Membrane Detachment Following Cataract Surgery: A Case Report

Article Sidebar

PDF
Published: Dec 30, 2024
DOI: https://doi.org/10.36281/2024020101
Keywords:
Bilateral descement detachment Corneal venting incisions Air tamponade

Main Article Content

Pey Yih Ng
UM Eye Research Centre, Department of Ophthalmology, University of Malaysia
Vanitha Hema Ratnalingam
UM Eye Research Centre, Department of Ophthalmology, University of Malaysia
Sujaya Singh
UM Eye Research Centre, Department of Ophthalmology, University of Malaysia
Fazliana Ismail
UM Eye Research Centre, Department of Ophthalmology, University of Malaysia
Shamala Retnasabapathy
UM Eye Research Centre, Department of Ophthalmology, University of Malaysia

Abstract

Unilateral, small peripheral Descemet’s membrane (DM) detachment (DMD) associated with cataract surgery is fairly common. However, bilateral DMD following uneventful cataract surgery is relatively rare. Conventional treatments for DMD include the injection of air, viscoelastic, or a gaseous tamponade agent. Here, we report a rare case of extensive bilateral DMD following uneventful cataract surgery and highlight a simple surgical approach that can be performed by a general ophthalmologist in treating DMD.

Article Details

Issue
Vol. 19 No. 2 (2024): July-December 2024
Section
Case Report
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

References

Anderson CJ. Gonioscopy in no-stitch cataract incisions. J Cataract Refract Surg. 1993;19(5):620-1.

Monroe WM. Gonioscopy after cataract extraction. South Med J. 1971;64(9):1122-4.

Ti SE, Chee SP, Tan DT, Yang YN, Shuang SL. Descemet membrane detachment after phacoemulsification surgery: risk factors and success of air bubble tamponade. Cornea. 2013;32(4):454-9.

Titiyal JS, Kaur M, Ramesh P, Shah P, Falera R, Bageshwar LMS, Kinkar A, Sharma N. Impact of Clear Corneal Incision Morphology on Incision-Site Descemet Membrane Detachment in Conventional and Femtosecond Laser-Assisted Phacoemulsification. Curr Eye Res. 2018;43(3):293-9.

Dai Y, Liu Z, Wang W, Han X, Jin L, Chen X, et al. Incidence of Incision-Related Descemet Membrane Detachment Using Phacoemulsification With Trapezoid vs Conventional 2.2-mm Clear Corneal Incision: A Randomized Clinical Trial. JAMA Ophthalmol. 2021;139(11):122834.

Moshirfar M, Somani AN, Vaidyanathan U, Patel BC. Fuchs Endothelial Dystrophy. 2023 Jul 31. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024.

Nanda GG, Alone DP. REVIEW: Current understanding of the pathogenesis of Fuchs’ endothelial corneal dystrophy. Mol Vis. 2019;25:295-310.

Beniwal A, Vanathi M, Venugopal A, Chaurasia S, Tandon R. Descemet’s membrane detachment: An updated comprehensive review of etiopathogenesis, diagnosis, and management. Indian J Ophthalmol. 2024;72(11):1560-8.

Marcon AS, Rapuano CJ, Jones MR, Laibson PR, Cohen EJ. Descemet’s membrane detachment after cataract surgery: management and outcome. Ophthalmology. 2002;109(12):2325-30.

Mackool RJ, Holtz SJ. Descemet membrane detachment. Arch Ophthalmol. 1977;95(3):459-63.

Samarawickrama C, Beltz J, Chan E. Descemet’s membrane detachments post cataract surgery: a management paradigm. Int J Ophthalmol. 2016;9(12):1839-42.

Shalchi Z, O’Brart DP, Ilari L. Bilateral descemet membrane detachment following cataract surgery. JAMA Ophthalmol. 2013;131(4):533-5.