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Repeat Descemetopexy after Descemet's Membrane Detachment following Phacoemulsification
Sameer Datar1, Aditya Kelkar1, Ashish K Jain1
1National Institute of Ophthalmology, Pune, India.
Case Reports in Ophthalmology
|August 16, 2014
Summary
Recurrent Descemet
Area of Science:
- Ophthalmology
- Corneal Surgery
Background:
- Descemet's membrane detachment (DMD) is uncommon, often following cataract surgery.
- Descemetopexy is the standard treatment for DMD, yielding good results.
Observation:
- Management of recurrent DMD after failed descemetopexy is unclear.
- Keratoplasty is a complex alternative requiring significant postoperative care.
Findings:
- Repeat descemetopexy with long-term tamponade (14% C3F8 gas) is a viable option for recurrent DMD.
- This approach offers a less invasive alternative to keratoplasty.
Implications:
- Repeat descemetopexy may improve outcomes for patients with recurrent DMD.
- This strategy warrants consideration before proceeding to keratoplasty.
