Descemet Membrane Detachment Assessed by Anterior Segment-Optical Coherence Tomography and Managed With Descemetopexy and Corneal Venting Incision: A Case Series

TL;DR

This case series explores a treatment for a serious eye complication after cataract surgery using a specific surgical technique to improve vision outcomes.

Contribution

The study introduces the combined use of descemetopexy and corneal venting incision for managing unresolved DMD after cataract surgery.

Findings

Five patients with DMD were successfully treated using descemetopexy and a corneal venting incision.

The treatment resulted in clearer corneas and better visual outcomes.

Early detection and intervention are crucial for preventing vision loss in DMD cases.

Abstract

Descemet membrane detachment (DMD) is a serious complication of cataract surgery noted mostly in the immediate post-operative period. We present a case series of five patients who experienced unresolved corneal edema during the post-operative period with DMD, as observed in slit-lamp examination and confirmed by anterior segment-optical coherence tomography. In all these cases, descemetopexy, along with a corneal venting incision, is performed for better and faster results, resulting in a clearer cornea. Early detection and management of DMD can give excellent visual outcomes and prevent vision loss in such cases.

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