A must know complication of femtosecond laser-assisted cataract surgery

Session Details

Session Title: Femtolaser-Assisted Cataract Surgery (FLACS) II

Session Date/Time: Monday 09/10/2017 | 08:30-10:30

Paper Time: 08:42

Venue: Room 4.4

First Author: : H.Abouzeid SWITZERLAND

Co Author(s): :                        

Abstract Details

Purpose:

To report the case of a patient with Descemet's membrane detachment after undergoing femtosecond laser assistedcataract surgery incisions.

Setting:

The Jules-Gonin Eye Hospital, University of Lausanne

Methods:

We report the case of a 70 year old woman with cataract and unpaired vision who underwent femtosecond laser assisted cataract surgery. The patient had a cornea guttata and was known for a history of breast, uterus and urachal carcinoma under remission, hepatits A and B.

Results:

DMD was noted at the secondary incision. Delay in recognizing Descemet membrane detachment intraoperatively led to inadvertent aspiration of a part of the Descemet membrane. Significant and persistent postoperative corneal edema occured. At three weeks, corneal edema had almost completely cleared and a semilunar abscence of Descemet’s membrane was noted. At that time, the patient was hopistalized in emergency for a recurrence of her carcina which led to her decease two months later.

Conclusions:

Descemet membrane detachment is a rare complication which can occur after femtosecond laser-assisted cataract surgery, its exact frequency is unknown yet. Less than ten cases of Descemet membrane detachment after femtosecond laser-assisted cataract surgery have been reported in the literature, it can probably occur wiht any type of femtolaser plateform. Surgeons must be aware of this potentially severe complication and prepared to manage it intraoperatively to reduce the risk of permanent damage to the eye.

Financial Disclosure:

NONE