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Descemet's membrane detachment after cataract surgery: management and outcome
Alexandre S Marcon1, Christopher J Rapuano, Matthew R Jones
1Cornea Service, Wills Eye Hospital, Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA.
Ophthalmology
|December 6, 2002
Summary
Descemet
Area of Science:
- Ophthalmology
- Corneal Surgery
- Cataract Surgery Outcomes
Background:
- Descemet's membrane detachment (DMD) is a potential complication following cataract surgery.
- Understanding the causes and effective treatments for post-cataract surgery DMD is crucial for patient outcomes.
Observation:
- A retrospective review of 15 eyes with nonscrolled DMD after cataract surgery was conducted.
- The study observed an increasing trend in DMD referrals, particularly associated with clear-corneal cataract procedures.
Findings:
- Medical management alone led to resolution in 8 of 15 eyes within approximately 10 weeks.
- Anterior-chamber SF(6) gas injection was successful in 3 of 5 eyes, with 2 requiring penetrating keratoplasty.
- Clear-corneal cataract surgery appears to be linked to an increase in DMD cases.
Implications:
- Medical therapy is often adequate for treating post-cataract surgery DMD.
- SF(6) gas injection can be a viable secondary treatment option when medical therapy fails.
- The rise in clear-corneal cataract procedures may necessitate increased vigilance for DMD.