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Descemet membrane detachment after Nd: YAG laser capsulotomy in a patient with fuchs dystrophy
Mickaël Afriat1, Julie Gueudry, Hela Yahia Chérif
1Department of Ophthalmology, Charles Nicolle Hospital, Rouen, France.
Purpose:
Descemet membrane detachment (DMD) is uncommon. It most frequently occurs as a complication of intraocular surgery. The aim of this study was to report a case of DMD after neodymium-doped yttrium aluminum garnet (Nd:YAG) laser capsulotomy in a patient with Fuchs dystrophy.
Methods:
We describe the case of an 89-year-old man suffering from Fuchs dystrophy, who underwent cataract surgery on his left eye. Three years later, the patient presented with posterior capsule opacification, which was treated using Nd:YAG laser capsulotomy. The day after the procedure, the patient came back for emergency treatment because of an acute reduction in his vision caused by a DMD.
Results:
Fifteen days after an initial treatment involving the injection of air into the anterior chamber coupled with ocular paracentesis, clinical examination revealed a significant improvement in visual acuity, reduction in corneal edema, and reattachment of Descemet membrane. These findings were confirmed using anterior segment optical coherence tomography.
Conclusions:
To our knowledge, this is the first reported case of DMD after Nd:YAG laser capsulotomy.
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