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Updated: Dec 6, 2025
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Corneal Donor Tissue Preparation for Descemet's Membrane Endothelial Keratoplasty
Published on: September 17, 2014
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[Descemet's membrane detachment after phacoemulsification: Series of 9 cases]
R Chudzinski1, H El Chehab1, R Mouchel2
1Hôpital d'instruction des armées Desgenettes, 108, boulevard Pinel, 69003 Lyon, France.
Journal Francais D'Ophtalmologie
|October 10, 2020
Summary
Prompt diagnosis and management are crucial for treating Descemet
Area of Science:
- Ophthalmology
- Corneal Surgery
- Ophthalmic Surgery
Background:
- Descemet's membrane detachment (DMD) is a rare complication following cataract surgery.
- No established guidelines exist for DMD diagnosis and treatment, risking irreversible corneal damage.
- Timely intervention is critical to prevent visual impairment.
Observation:
- A series of 9 cases of post-cataract surgery DMD were analyzed.
- Treatment varied from medical management to air-bubble descemetopexy and keratoplasty.
- The HELP protocol was retrospectively evaluated against these cases.
Findings:
- Two cases resolved with medical treatment alone.
- Four cases required air-bubble descemetopexy.
- Three cases necessitated keratoplasty.
- Late diagnosis and management were identified as key factors for poor outcomes.
Implications:
- Proactive management and prompt diagnosis are essential for favorable outcomes in DMD.
- Anterior segment OCT is vital for diagnosing DMD in persistent postoperative corneal edema.
- This study highlights the importance of early detection and intervention to preserve vision.
