Posters

Outcomes of pneumatic descemetopexy for Descemet's membrane detachment after cataract surgery

Poster Details

First Author: H.Chawla UK

Co Author(s):    V. Vohra   A. Khan                 

Abstract Details

Purpose:

To analyze the outcomes of post-cataract surgery descemetopexy for Descemet membrane detachment using intracameral air or sulfur hexafluoride injection.

Setting:

Nirmal Ashram Eye Institute, Rishikesh, India.

Methods:

The clinical data of patients who underwent descemetopexy from January 2017 to December 2018 for Descemet membrane detachment after cataract surgery using intracameral air -100% (Group 1) or sulfur hexafluoride- 20 % (sf6) injection (Group 2) were reviewed after institutional review board was obtained.

Results:

Of 31 patients, 23 had manual small-incision cataract surgery (SICS), 4 had phacoemulsification, 2 had extracapsular cataract extraction and 2 had combined SICS with trabeculectomy. Mean duration between cataract surgery and descemetopexy was 15.3 days. Air was injected in 20 eyes and sf6 in 11 eyes. In group 1, 16 patients had a successful reattachment; 3 were reinjected with sf6 and 1 received air injection twice. All patients in group 2 had successful reattachment. One patient in group 2 had elevated intraocular pressure . Corneal decompensation occurred in two patients who presented at 3 and 5 months for descemetopexy.

Conclusions:

Pneumatic descemetopexy is a safe option in the management of Descemet detachment after cataract surgery. Early intervention yields good visual outcomes.

Financial Disclosure:

None