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Related Experiment Video

Updated: Oct 12, 2025

Corneal Donor Tissue Preparation for Descemet's Membrane Endothelial Keratoplasty
10:46

Corneal Donor Tissue Preparation for Descemet's Membrane Endothelial Keratoplasty

Published on: September 17, 2014

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Obstetrical forceps-induced Descemet membrane tears.

Rinky Agarwal1, Nidhi Kalra Singh1, Rajesh Sinha1

  • 1Department of Ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

Indian Journal of Ophthalmology
|November 27, 2021
PubMed
Summary
This summary is machine-generated.

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Refractive surgery and dry eye - An update.

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Efficacy and safety of 0.05% micellar nano-particulate (MNP) cyclosporine ophthalmic emulsion in the treatment of moderate-to-severe keratoconjunctivitis sicca: a 12-week, multicenter, randomized, active-controlled trial.

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Anterior lens capsule: Biological drape.

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Ocular and Systemic Factors Associated with Glaucoma.

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Comparison of Pre-Descemet Endothelial Keratoplasty and Descemet Membrane Endothelial Keratoplasty in Endothelial Decompensation.

Cornea·2023

Obstetrical forceps-induced Descemet membrane tears (FIDMT) can cause vision loss in children. Early diagnosis and treatment, including refractive correction and amblyopia therapy, are crucial for preventing long-term visual impairment.

Area of Science:

  • Ophthalmology
  • Neonatal Care
  • Pediatric Vision

Background:

  • Obstetrical forceps-induced Descemet membrane tears (FIDMT) are a rare complication of forceps-assisted deliveries.
  • This condition can lead to significant visual impairment in infants and young children, often overlooked due to its low incidence.

Purpose of the Study:

  • To review the pathogenesis, clinical features, diagnostic methods, management strategies, and outcomes of FIDMT.
  • To highlight the importance of early diagnosis and intervention for preventing visual debilitation.

Main Methods:

  • Review of literature on FIDMT over the past three decades.
  • Discussion of diagnostic tools including slit-lamp examination, OCT, specular microscopy, confocal microscopy, and corneal topography.
  • Analysis of current and emerging management approaches.
Keywords:
AstigmatismDescemet membrane tearscorneal edemaforceps

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Last Updated: Oct 12, 2025

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Main Results:

  • FIDMT results from excessive stretching of Descemet's membrane during delivery, causing tears that lead to neonatal corneal edema.
  • Residual tears can cause visually disabling astigmatism and amblyopia.
  • Prompt refractive correction and amblyopia therapy are essential for visual recovery in children.

Conclusions:

  • Improved perinatal care may prevent FIDMT.
  • Accurate diagnosis through advanced imaging techniques is vital.
  • Management in adulthood depends on coexistent amblyopia, which significantly impacts visual prognosis.