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Updated: Apr 12, 2026

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Complex Descemet's Membrane Tears and Detachment during Phacoemulsification.

Faik Orucoglu1, Ali Aksu1

  • 1Department of Ophthalmology, Birinci Eye Hospital, Istanbul, Turkey.

Journal of Ophthalmic & Vision Research
|May 26, 2015
PubMed
Summary

This case report details a complex Descemet's membrane detachment during cataract surgery. Prompt treatment with air injection led to significant corneal clarity recovery despite membrane damage.

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Area of Science:

  • Ophthalmology
  • Corneal Surgery
  • Cataract Surgery Complications

Background:

  • Phacoemulsification cataract surgery is a common procedure with potential complications.
  • Descemet's membrane detachment (DMD) can occur during intraocular surgery, impacting corneal clarity.

Observation:

  • A 64-year-old woman developed Descemet's membrane (DM) tears and detachment during phacoemulsification.
  • Massive corneal edema initially obscured visualization post-surgery.
  • Scheimpflug imaging proved valuable for diagnosing and monitoring DM pathology.

Findings:

  • Despite significant DM tears and partial loss, corneal edema resolved substantially after 5 weeks.
  • Air bubble injection was a key component of the management strategy.
  • The cornea regained considerable clarity, indicating regenerative potential.
Keywords:
Descemet MembranePhacoemulsificationScheimpflug Imaging

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Implications:

  • This case highlights a successful management approach for complex DMD post-cataract surgery.
  • Scheimpflug imaging aids in the assessment of Descemet's membrane integrity.
  • Conservative management with air tamponade can lead to favorable visual outcomes even with substantial DM damage.