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To study the efficacy of air descemetopexy in the management of various types of descemet membrane detachment & to know the role of other gases Perfluoropropane (14% C3F8) and sulphur hexafluoride (20% SF6) in failed cases of air descemetopexy

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First Author: S.Singh INDIA

Co Author(s):    S. Singh   K. Singh   D. Shukla              

Abstract Details

Purpose:

To study the efficacy of air descemetopexy in the management of various types of descemet membrane detachment (DMD).

Setting:

The proposed study is conducted at Regional Institute of Ophthalmology (M.D. Eye Hospital, Dr. Katju Road, Nakhas Kona, Prayagraj, India), after taking permission from the ethical committee. A written consent from all the patients was taken.

Methods:

After ethical committee approval, clinical data of 40 patients during the period of December 2017 to December 2018, who developed DMD after cataract surgery were analysed.Patient were undertaken for descemetopexy after evaluating with Anterior segment OCT.

Results:

Majority of patients (n= 32, 80%) had severe generalized corneal edema, n = 4 had moderated corneal edema & n = 4 had localized mild corneal edema. Only air was sufficient to reattach DMD in majority of the patients (n=36, 90% cases), only 4 patients who had very large dmd failed to attach by air. In these patients repeat descemetopexy by 14% C3F8 gas was done which lead to attachment of descemet membrane with improvement of visual acuity in 3 cases. Complications due to increase intraocular pressure were noted with these gases.

Conclusions:

Air descemetopexy is a safe & efficacious option for DMD repair in most of the cases and it is associated with less postop complications.

Financial Disclosure:

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