Posters

Descemet's membrane detachment after cataract surgery: do not lose hope

Poster Details

First Author: A.Ghazza FRANCE

Co Author(s): P. Becmeur   P. Lenoble   L. Meyer              

Abstract Details

Purpose:

The aim of our study is to recall through our case and the review of the literature, the management of the Descemet membrane detachment (DMD ) and the interest of patience in this kind of situation.

Setting:

Ophtalmology department , Colmar civil hospitals

Methods:

We report the case of a 67-year-old man, diabetic non-insulin-dependent balanced, operated on cataract of the left eye by phacoemulsification and who develop DMD at day 1 postoperative .

Results:

The intervention was performed under topical anaesthesia ,consisted of the injection of  a sterile air bubble into the anterior chamber and hypertonicity left 10 minutes at each procedure then 15minutes for the last one. after the third intervention ,there was an increase of visual acuity 4/10, a decrease of the corneal oedema but persistence of an inferior DMD.  We opted to wait and see for one week and eventual SF6 gas injection (70%) if no improvement.Ophthalmic control found a real increase of visual acuity up to 8/10, and complete reapplication of Descemet’s membrane, without any sign of inflammation.

Conclusions:

The corneal graft should be reserved only in case of failure of these procedures especially if the DMD affects large and central.

Financial Disclosure:

None