Back to Journals » Therapeutics and Clinical Risk Management » Volume 11

A case of Descemet’s membrane detachments and tears during phacoemulsification

Authors Wang Y, Guan H

Received 22 April 2015

Accepted for publication 6 October 2015

Published 19 November 2015 Volume 2015:11 Pages 1727—1729

DOI https://doi.org/10.2147/TCRM.S87162

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Hoa Le

Peer reviewer comments 3

Editor who approved publication: Professor Garry Walsh

Yong Wang, Huaijin Guan

Eye Institute, Affiliated Hospital of Nantong University, Nantong, People’s Republic of China

Abstract: Descemet’s membrane detachment is an important reason for corneal endothelial decompensation after intraocular surgery. During cataract surgery, it is an unusual complication. We report a case of Descemet’s membrane detachment in which approximately 60% of Descemet’s membrane (DM) involving approximately the upper two-thirds of the cornea was torn out during a routine phacoemulsification. It caused diffuse corneal edema and blurred vision in the 2 months following the surgery. Topical prednisolone acetate (1%) and sodium chloride (5%) had been used for treatment, with slow improvement in the patient’s symptoms and vision. Interestingly, the cornea regained clarity 2 months after surgery without further surgical treatment.

Keywords: Descemet’s membrane detachment, phacoemulsification, corneal endothelium

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]