Posters

Management of Descemet’s membrane detachment (DMD) after cataract surgery

Poster Details

First Author: O.Bouazzaoui TUNISIA

Co Author(s): A. Khallouli   A. Maalej   C. Lagneb   R. Rannen           

Abstract Details

Purpose:

To study the anatomic and visual outcomes of topical steroids or air descemetopexy in Descemet's membrane detachment (DMD) after cataract surgery.

Setting:

Ophthalmology Department, Military hospital of Tunis, Tunisia

Methods:

This is a retrospective case review of 12 patients who presented DMD after cataract surgery from January 2019 to June 2019. Demographic details, type of cataract, type of cataract surgery, intraoperative complications, severity of DMD and post reattachment of the Descemet's membrane (DM) visual and clinical outcomes were documented.

Results:

The mean age was 62.2 ± 8.5 years . The incidence of DMD was more in extracapsular cataract extraction (58 %) than phacoemulsification (41%). DMD was more common among surgical trainees (83 %) than consultants (17 %). Four patients were managed with topical steroid, 8 patients with primary air descemetopexy.  After primary air descemetopexy, five out of the 8 had DM reattachment. Two patients underwent repeat air descemetopexy for persistent DMD with successful reattachment. The complications noted after descemetopexy include persistent DMD (1patient) and pupillary block with air (1 patient).

Conclusions:

Air descemetopexy is a safe and efficient modality of treatment of DMD and should be tried even in patients with severe DMD before planning a major surgery like endothelial keratoplasty

Financial Disclosure:

None