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Related Experiment Video

Updated: Apr 13, 2026

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A new clinico-tomographic classification and management algorithm for Descemet's membrane detachment.

Soosan Jacob1, Amar Agarwal1, Prashaant Chaudhry1

  • 1Dr. Agarwal's Eye Hospital and Eye Research Centre, 19 Cathedral Road, Chennai 600 086, Tamilnadu, India.

Contact Lens & Anterior Eye : the Journal of the British Contact Lens Association
|May 5, 2015
PubMed
Summary

A new classification for Descemet

Keywords:
Bullous Descemet's detachmentDescemet's membrane detachmentOptical coherence tomographyRelaxing DescemetotomyRhegmatogenous Descemet's detachmentTractional Descemet's detachment

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Area of Science:

  • Ophthalmology
  • Corneal Surgery
  • Anterior Segment Imaging

Background:

  • Descemet's detachment (DD) is a condition affecting the cornea.
  • Accurate classification is crucial for effective management and prognosis.

Purpose of the Study:

  • To introduce a novel clinico-tomographic classification system for Descemet's detachment.
  • To categorize DD based on clinical presentation and anterior segment optical coherence tomography (ASOCT) findings.

Main Methods:

  • An interventional case series involving 35 eyes with DD.
  • Classification into four types: Rhegmatogenous DD (RDD), Tractional DD (TDD), Bullous DD (BDD), and Complex DD (CDD).
  • ASOCT was utilized to assess the morphology and dimensions of the detached Descemet's membrane.

Main Results:

  • RDD was the most frequent type (n=23), often post-surgical, treated with observation or pneumodescemetopexy.
  • TDD (n=4) and BDD (n=3) showed varied treatment responses, with some BDD cases resolving spontaneously.
  • Complex DD (CDD, n=5) required diverse interventions including air refloatation, endothelial keratoplasty, or penetrating keratoplasty.

Conclusions:

  • The proposed clinico-tomographic classification system aids in systematically diagnosing and managing Descemet's detachment.
  • Understanding the etio-morphology of DD is key to tailoring treatment and predicting outcomes.