Posters

Retrospective analysis of management of DM detachment after uneventful cataract surgery

Poster Details

First Author: S. Mohan INDIA

Co Author(s):    M. Rajan                    

Abstract Details

Purpose:

Descemet's membrane detachment is a rare but serious complication following cataract surgery. Extensive detachments that affect the visual axis may result in poor vision and if not managed properly may require lamellar corneal surgery. A retrospective analysis of management of DM detachment over a one year period at a tertiary referral hospital was done.

Setting:

RAJAN EYE CARE HOSPITAL PVT LTD, CHENNAI

Methods:

42 eyes of 42 patients presented with DM detachment involving the visual axis. The time of referral ranged from 1 day to 1 month .81% (17 eyes) had a temporal detachment, 6eyes (14%) had a superior detachment,2 eye (4.7%) had an inferior detachment. Total DM detachment was present in 12 eyes (28.5%). All the eyes underwent intracameral air injection as a primary procedure to reattach Descemet's membrane. Repeat air injection was required in 8 out of 42 eyes. 4 patients had non expansile c3f8 injection as a secondary modality. One patient had transcorneal suturing done.

Results:

28 eyes had successful reattachment of Descemet's membrane after the primary air injection with clearing of corneal edema & improvement in visual acuity. The response to primary air injection was better in early referrals (71%) patients with longer history needed repeat procedures (7%). Patients with a single detachment responded better than patients with multiple areas of detachment. All patients ultimately responded to the intervention

Conclusions:

DM detachment, though a serious problem needs immediate intervention. Improvement in visual acuity is fast, the method is safe, effective and easily performed under topical anesthesia.

Financial Disclosure:

NONE