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Predictors of Repeat Descemetopexy Following Phacoemulsification: Clinical Risk Factors and Descriptive AS-OCT
Sevgi Subasi1, Dilara Pirhan2, Diba Bulluti2
1Kocaeli University, School of Medicine, Department of Ophthalmology, Kocaeli, Turkey. sevgiozel_5@hotmail.com.
Korean Journal of Ophthalmology : KJO
|July 28, 2026
Summary
Most post-cataract Descemet membrane detachments (DMD) detected during surgery resolve with one intervention. However, predisposing factors significantly increase the need for repeat surgical management.
Area of Science:
- Ophthalmology
- Corneal Surgery
- Anterior Segment Surgery
Background:
- Descemet membrane detachment (DMD) can occur after cataract surgery.
- Understanding factors influencing DMD management is crucial for surgical outcomes.
Purpose of the Study:
- Evaluate clinical features, predisposing factors, detection timing, and AS-OCT characteristics of post-cataract DMD requiring surgical intervention.
- Identify predictors for repeat surgical management of DMD.
Main Methods:
- Retrospective study of 100 eyes with post-cataract DMD between 2018-2023.
- Eyes grouped by detection timing (intraoperative vs. postoperative) and intervention (single vs. repeat).
- Analyzed clinical data, predisposing factors, and AS-OCT findings.
Main Results:
- 89% of DMDs were detected intraoperatively; 11% postoperatively.
- Predisposing factors were present in 22% of eyes and independently associated with repeat intervention (OR=13.16).
- Final visual acuity and anatomical success were similar across groups, despite differences in central corneal thickness.
Conclusions:
- Intraoperatively detected DMDs often resolve with a single surgical procedure.
- Predisposing factors are a significant risk factor for requiring repeat interventions for DMD.
- AS-OCT detachment dimensions were not associated with the need for repeat intervention.