Background:
Descemet’s membrane detachment (DMD) is a possible complication after cataract surgery and has been reported to happen in 0.5% os cases after cataract surgery.
Case Presentation:
A 77-year-old male patient underwent right eye cataract surgery and presented two weeks after surgery with decreased visual acuity (CF) in the operated right eye. There was generalized cornea oedema and the Descemet’s membrane (DM) was noticed to be detached at 80% of the corneal surface. At 12 days postoperatively, a descemetopexy with intracameral air bubble was performed following the principles of endothelial keratoplasty. On follow-up the visual acuity in the right eye was 6/7.5 with complete corneal clarity at two months.
Conclusion:
Early recognition and surgical intervention of a DM detachment at cataract surgery is likely to enable resolution without the need for a transplant. If suspected or identified at the end of surgery, anterior chamber air insertion is recommended. It is important to note that separated DM can mimic a retained anterior capsule flap. Care must be taken when considering removal of any clear membranes at the end of cataract surgery.
Key words: Descemet´s, Detachment, Descemetopexy, Outcome, Prevention
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