Descemet's Membrane Detachment Following Minor Blunt Periocular Trauma: A Case Report and Review of the Literature

Descemet's membrane detachment (DMD) is usually encountered postoperatively, with most cases not resolving spontaneously and requiring medical or surgical intervention. We describe a case that developed DMD immediately following blunt trauma in an aphakic eye with significant iridodonesis. The case was managed with an injection of gas tamponade that was later augmented. Eventually, the patient regained near-baseline visual acuity. DMD can occur immediately following blunt trauma with no associated endothelial abnormalities, recent intraocular surgery, keratoconus, or inflammation. Significant iridodonesis may contribute to the development of DMD in such cases.