Descemet's membrane detachment after cataract extraction

Area of Science:

• Ophthalmology
• Corneal Surgery
• Intraocular Surgery

Background:

• Descemet's membrane detachment is a rare complication of intraocular surgery, often following cataract extraction.
• Small detachments may resolve with medical therapy, but larger ones necessitate surgical intervention.
• Gas-fluid exchange using sulfur hexafluoride or perfluropropane is a common surgical approach.

Observation:

• A 77-year-old male developed persistent corneal edema and vision loss after cataract surgery.
• A significant scrolled Descemet's membrane detachment was observed, unresponsive to topical treatments.

Findings:

• Successful reattachment of Descemet's membrane was achieved using an anterior chamber injection of 14% perfluropropane (C3F8).
• Post-procedure, the cornea cleared, and visual acuity improved after YAG capsulotomy for anterior capsular fibrosis.

Implications:

• This case highlights the efficacy of 14% C3F8 gas injection for managing significant Descemet's membrane detachments.
• Prompt surgical management is crucial for preserving vision in cases of Descemet's membrane detachment.