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Manuela Schmidt1, Andreas Mößner2, Renate Wiedemann2

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|April 13, 2019
PubMed
Summary
This summary is machine-generated.

Unintended excision of Descemet's membrane (DM) during cataract extraction (CE) can occur. This complication was successfully managed with Desecemet membrane endothelial keratoplasty (DMEK), restoring vision.

Keywords:
Cataract excisionCorneal decompensationCorneal endotheliumDescemet membrane detachmentOperative complications

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Area of Science:

  • Ophthalmology
  • Corneal Surgery
  • Cataract Surgery

Background:

  • Routine cataract extraction (CE) is a common procedure.
  • Descemet's membrane (DM) is a critical layer of the cornea.
  • Complications during CE can impact visual outcomes.

Observation:

  • A case of unintended Descemet's membrane (DM) excision during routine cataract extraction (CE) in a 91-year-old male patient.
  • The DM was almost completely detached and excised during the procedure.

Findings:

  • Descemet membrane endothelial keratoplasty (DMEK) was successfully performed as a treatment for the unintended DM excision.
  • Post-DMEK, the patient's cornea cleared significantly.
  • Visual acuity improved from 0.02 to 0.8 (corrected vision).

Implications:

  • Unintended DM excision is a treatable complication of CE.
  • DMEK offers a viable and effective solution for such intraoperative complications.
  • Prompt DMEK can restore visual function after DM damage during CE.