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[Compensating the Descemet's membrane defect (a clinical case study)]
G V Voronin1, V R Mamikonyan2, S V Trufanov2
1Research Institute of Eye Diseases, 11A Rossolimo St., Moscow, Russian Federation, 119021; I.M. Sechenov First Moscow Medical University, 8-2 Trubetskaya St., Moscow, Russian Federation, 119991.
Vestnik Oftalmologii
|December 1, 2018
Summary
This case study shows that Descemet
Area of Science:
- Ophthalmology
- Corneal Surgery
- Cellular Biology
Background:
- Descemet's membrane detachment can occur during cataract surgery.
- Corneal edema is a common post-operative complication.
- The corneal endothelium has regenerative capabilities.
Purpose of the Study:
- To report a case of Descemet's membrane detachment post-cataract surgery.
- To evaluate the potential for spontaneous corneal healing.
- To assess long-term visual outcomes after such an event.
Main Methods:
- A clinical case of Descemet's membrane detachment during phacoemulsification.
- Post-operative follow-up for 2 years.
- Treatment of corneal edema with osmotic and anti-inflammatory drugs.
Main Results:
- Significant corneal edema resolved within 4 months of treatment.
- Corneal transparency was maintained for 2 years post-surgery.
- Endothelial cell density in the affected area was 1000 cells/mm².
Conclusions:
- Spontaneous structural and functional recovery of the corneal endothelium is possible.
- Complete optical recovery can be achieved even with large Descemet's membrane defects.
- Conservative management may be effective for post-operative Descemet's membrane detachment.