Related Experiment Video
Updated: Mar 14, 2026
10:46
Corneal Donor Tissue Preparation for Descemet's Membrane Endothelial Keratoplasty
Published on: September 17, 2014
15.8K
Descemet's Membrane Detachment with Schisis Induced by Phacoemulsification.
Wenjia Xie1, Yesheng Xu, Yu-Feng Yao
1*MD, OD †MD, PhD Department of Ophthalmology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China (all authors).
Summary
Descemet
Area of Science:
- Ophthalmology
- Corneal Surgery
- Anterior Segment Imaging
Background:
- Phacoemulsification with intraocular lens implantation is a common cataract surgery.
- Corneal edema and epithelial defects can occur post-operatively.
- Descemet's membrane abnormalities may present with varied clinical signs.
Observation:
- A 72-year-old female experienced persistent corneal edema post-phacoemulsification.
- Initial misdiagnosis as herpetic keratitis was made.
- High-definition anterior segment optical coherence tomography (AS-OCT) confirmed Descemet's membrane schisis and detachment.
Findings:
- High-definition AS-OCT is crucial for diagnosing Descemet's membrane schisis and detachment.
- Descemet's membrane detachment and schisis can mimic herpetic keratitis.
- Successful reattachment of Descemet's membrane was achieved with topical steroids and lubrication.
Implications:
- Accurate diagnosis of post-operative Descemet's membrane abnormalities is essential.
- AS-OCT aids in differentiating Descemet's membrane schisis from infectious keratitis.
- Conservative management can lead to favorable outcomes in Descemet's membrane detachment.
