Posters

Outcomes of air Descemetopexy for Descemet’s membrane detachment (DMD) after small incision cataract surgery (SICS)

Poster Details

First Author: A. Mazhari INDIA

Co Author(s):    P. Mahajan   P. Chakarpani   R. Shukla   R. Kairati           

Abstract Details

Purpose:

To analyze the visual and anatomical outcome of eyes after repair of Descemet's Membrane Detachment (DMD) during a four months period in a community setting of tertiary care hospital.

Setting:

4474 patients who underwent SICS during the four months period between January to April 2015 in a community setting of Indira Gandhi Eye Hospital & Research Centre, India were included in this retrospective case series.

Methods:

Post op. eyes with more than one plus corneal edema were screened by ASOCT. 30 eyes were identified having DMD on ASOCT. 2 patients lost during followup. Descemetopexies were primarily performed with Air (26 eyes) or 14% Isoexpansile perfluoropropane, C3F8 (2 eyes). Full (about 80%) and slow limbal to limbal Air / C3F8 were injected intracamerally and anterior chamber made tight by a gentle hydro. Patients were kept on strict supine position for 6 hours. Sequential ASOCT were taken every alternate day during one week post op. First post op. vision were documented when air absorbed.

Results:

26 eyes achieved successful re-attachment of Descemet’s membrane on ASOCT and resolution of corneal edema clinically. One eye gone into decompensation of cornea and the one eye has no improvement of vision due to preoperative central corneal opacity. These 2 eyes were advised keratoplasty. Patient with successful outcomes were prescribed glasses at 6 weeks. Post op. refraction ranging from (+/- 0 to1.50 DS) and (- 0.50 to - 2.00 DC)

Conclusions:

Air descemetopexy is a safe and effective option in the management of Descemet’s Membrane Detachment (DMD) after cataract surgery. Although descemetopexy with Isoexpansile perfluoropropane (C3F8) is good in maintaining Descemet's membrane stability during immediate post op period but due to its expansible nature and slow absorption can give rise to high Intraocular pressure and its associated side effects and complications.

Financial Disclosure:

NONE