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Corneal Donor Tissue Preparation for Descemet's Membrane Endothelial Keratoplasty
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Descemet's membrane detachment following phacoemulsification.

Jaspreet Sukhija1, Jagat Ram, Sushmita Kaushik

  • 1Advanced Eye Centre, Postgraduate Institute of Medical Education & Research, Chandigarh, India.

Ophthalmic Surgery, Lasers & Imaging : the Official Journal of the International Society for Imaging in the Eye
|August 3, 2010
PubMed
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Descemet

Area of Science:

  • Ophthalmology
  • Corneal Surgery
  • Intraocular Lens Implantation

Background:

  • Descemet's membrane detachment (DMD) can occur after phacoemulsification.
  • Unexpected corneal edema post-surgery may indicate DMD.

Purpose of the Study:

  • To identify management strategies for DMD.
  • To define indications for surgical intervention in DMD.

Main Methods:

  • Retrospective review of 11 patients with DMD post-phacoemulsification.
  • Analysis of cases with DMD involving one-third or more of the cornea.

Main Results:

  • Perfluoropropane gas injection was used for intraoperative and postoperative DMD management.
  • Three eyes with >50% corneal involvement required repeat surgery.

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  • All 11 eyes achieved best-corrected visual acuity better than 6/12.

    • Conclusions:

    • Suspect DMD in cases of unexpected postoperative corneal edema after phacoemulsification.
    • Timely treatment is crucial for Descemet's membrane detachment.
    • Surgical intervention is indicated for significant membrane separation and folding.