101. Successful Treatment of Post-Phacoemulsification Descemet’s Membrane Detachment Assessed by Anterior Segment Optical Coherence Tomography: A Case Report
- Author
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Akitaka Tsujikawa, Tadamichi Akagi, and Ayaka Doi
- Subjects
musculoskeletal diseases ,medicine.medical_specialty ,congenital, hereditary, and neonatal diseases and abnormalities ,genetic structures ,medicine.medical_treatment ,descemet’s membrane detachment ,Case Report ,Intraocular lens ,Optical coherence tomography ,Ophthalmology ,Cornea ,medicine ,gas tamponade ,anterior segment optical coherence tomography ,Reduced visual acuity ,medicine.diagnostic_test ,business.industry ,Phacoemulsification ,cataract surgery ,Cataract surgery ,RE1-994 ,eye diseases ,Descemet's membrane ,medicine.anatomical_structure ,Descemet's membrane detachment ,sense organs ,business ,Complication - Abstract
Descemet’s membrane detachment (DMD) is a rare but serious complication of phacoemulsification surgery. A small DMD may resolve spontaneously, but extensive DMD often requires intracameral injection of air, nonexpansile gases, or expansile gases. A 92-year-old man who underwent phacoemulsification and aspiration with intraocular lens placement in the right eye had significantly reduced visual acuity, with a hazy cornea after surgery. Anterior segment optical coherence tomography (AS-OCT) examination revealed extensive DMD throughout the cornea. He was treated with intracameral injection of 20% sulfur hexafluoride. As a result, the Descemet membrane was successfully reattached, and the corneal edema resolved. AS-OCT was helpful in confirming the presence and extent of DMD, provided useful information to determine the appropriate treatment, and was useful for monitoring DMD.
- Published
- 2021