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Detachment of Descemet's membrane
M A Mahmood1, K D Teichmann, K F Tomey
1King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Journal of Cataract and Refractive Surgery
|June 27, 1998
Summary
Surgical repair using intracameral air or sulfur hexafluoride (SF6) gas is effective for Descemet
Area of Science:
- Ophthalmology
- Corneal Surgery
- Ophthalmic Research
Background:
- Descemet's membrane detachment can impair vision.
- Identifying predisposing factors and optimal treatments is crucial.
Observation:
- A retrospective review of 12 eyes with Descemet's detachment was conducted.
- Surgical repair was performed in all but one case.
- Methods included intracameral air or 20% sulfur hexafluoride (SF6) gas injection.
Findings:
- Successful reattachment was achieved in 10 out of 12 eyes.
- Eight eyes maintained corneal clarity post-surgery.
- Four eyes developed corneal edema/scarring; two required keratoplasty.
Implications:
- Intracameral air or SF6 gas injection is a successful treatment for Descemet's detachment.
- Glaucoma and prior corneal edema may indicate a higher risk.
- Further research into predisposing factors is warranted.