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Treatment of Inferior Descemet Membrane Detachment Secondary to Cataract Surgery with Air Injection and Supine Head Position
Abstract:Purpose: To describe a case of a patient with inferior Descemet membrane detachment that resolved after injection of small air bubble and supine positioning.

Methods: A patient presented two weeks after cataract surgery with inferior persistent corneal edema. A Descemet membrane detachment involving the inferior cornea was revealed. Injection of small air bubble was performed and the patient was advised to stay in a supine position for the next two hours and then as much as reasonably possible to allow the air bubble to press the Descemet to the posterior corneal stroma.

Results: Five days after injection, the Descemet membrane was reattached to the corneal stroma and the cornea became clear without any evidence of edema. One month post-air injection the cornea remained clear and the Descement membrane attached.

Conclusions: Air injection with supine position was efficient for the resolution of inferior partial Descemet detachment after cataract surgery. The edema resolved without any further intervention.
Keywords:descemet detachment  air bubble  cornea  edema  cataract surgery complication
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