EJMCR |

Case Report

Volume: 8 | Issue: 9 | Published: Nov 05, 2024 | Pages: 205 - 208 | DOI: 10.24911/ejmcr.173-1723285057

Descemet’s membrane detachment during cataract surgery: a case report

Authors: Aina Pons , Cristina Christian , Abhinav Loomba , Sid Goel

Article Info

Authors

Aina Pons

Central Middlesex Hospital, London North West University Healthcare NHS Trust, Harrow, UK.

Cristina Christian

St James Hospital, Leeds Teaching Hospitals NHS Trust, Harrow, UK.

Abhinav Loomba

Hull University Teaching Hospitals NHS Trust, Harrow, UK.

Sid Goel

Hull University Teaching Hospitals NHS Trust, Harrow, UK.

Publication History

Received: August 10, 2024

Accepted: September 19, 2024

Published: November 05, 2024

Abstract

Background:

Descemet’s membrane detachment is a possible complication after cataract surgery and has been reported to happen in 0.5% of cases after cataract surgery.
Case Presentation:

A 77-year-old male patient underwent right eye cataract surgery and presented 2 weeks after surgery with decreased visual acuity (CF) in the operated right eye. There was generalized cornea edema and the Descemet’s membrane (DM) was noticed to be detached at 80% of the corneal surface. At 12 days postoperatively, a descemetopexy with intracameral air bubble was performed following the principles of endothelial keratoplasty. On follow-up, the visual acuity in the right eye was 6/7.5 with complete corneal clarity at 2 months.
Conclusion:

arly recognition and surgical intervention of a DM detachment at cataract surgery are likely to enable
resolution without the need for a transplant. If suspected or identified at the end of surgery, anterior chamber air insertion is recommended. It is important to note that separated DM can mimic a retained anterior capsule flap. Care must be taken when considering removal of any clear membranes at the end of cataract surgery.

Keywords: Descemet´s, detachment, descemetopexy, outcome, prevention.

Pubmed Style

Aina Pons, Cristina Christian, Abhinav Loomba, Sid Goel. Descemet’s membrane detachment during cataract surgery: a case report. EJMCR. 2024; 05 (November 2024): 205-208. doi:10.24911/ejmcr.173-1723285057

Web Style

Aina Pons, Cristina Christian, Abhinav Loomba, Sid Goel. Descemet’s membrane detachment during cataract surgery: a case report. https://ejmcr.com/articles/1359 [Access: November 21, 2024]. doi:10.24911/ejmcr.173-1723285057

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Aina Pons, Cristina Christian, Abhinav Loomba, Sid Goel. Descemet’s membrane detachment during cataract surgery: a case report. EJMCR. (2024), [cited November 21, 2024]; 05 (November 2024): 205-208. doi:10.24911/ejmcr.173-1723285057

Harvard Style

Aina Pons, Cristina Christian, Abhinav Loomba, Sid Goel (2024) Descemet’s membrane detachment during cataract surgery: a case report. EJMCR, 05 (November 2024): 205-208. doi:10.24911/ejmcr.173-1723285057

Chicago Style

Aina Pons, Cristina Christian, Abhinav Loomba, Sid Goel. "Descemet’s membrane detachment during cataract surgery: a case report." 05 (2024), 205-208. doi:10.24911/ejmcr.173-1723285057

MLA (The Modern Language Association) Style

Aina Pons, Cristina Christian, Abhinav Loomba, Sid Goel. "Descemet’s membrane detachment during cataract surgery: a case report." 05.November 2024 (2024), 205-208. Print. doi:10.24911/ejmcr.173-1723285057

APA (American Psychological Association) Style

Aina Pons, Cristina Christian, Abhinav Loomba, Sid Goel (2024) Descemet’s membrane detachment during cataract surgery: a case report. , 05 (November 2024), 205-208. doi:10.24911/ejmcr.173-1723285057