A combined technique for surgical repair of Descemet's membrane detachments. |
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Authors: | Bennie H Jeng David M Meisler |
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Affiliation: | Cole Eye Institute, Cleveland Clinic Foundation, OH 44195, USA. |
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Abstract: | BACKGROUND AND OBJECTIVE: Descemet's membrane detachments are an uncommon complication after cataract surgery that can result in severe visual loss. A combined technique of intracameral gas injection and transcorneal suturing for the repair of Descemet's membrane detachments is described. PATIENTS AND METHODS: In this interventional case series, four cases of Descemet's membrane detachments with associated corneal edema observed following cataract surgery were successfully repaired using a combined technique of intracameral gas injection and transcorneal suturing. RESULTS: In all cases, Descemet's membranes were successfully reattached using the aforementioned technique. In three cases, the associated corneal edema resolved postoperatively. In the fourth case, the patient required a penetrating keratoplasty for persistent corneal edema despite immediate anatomical success following reattachment. CONCLUSIONS: Combined intracameral gas and transcorneal suturing appears to be an effective technique in the repair of Descemet's membrane detachments. Early intervention may prevent persistent or recurrent corneal edema. |
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