Abstract
Purpose
To report a case of spontaneously reattached Descemet's membrane detachment, which first occurred during the cataract surgery, and still remained after injection of 100% air into the chamber.
Case summary
A 78-year-old woman came to the clinic with decreased visual acuity. She had a brunescent cataract and underwent extracapsular cataract extraction with a posterior chamber lens implantation. During the irrigation and aspiration procedure, the Descemet's membrane was torn and detached. An anterior chamber injection of 100% air was performed prior to the conclusion of surgery. Descemet's membrane detachment remained at the center of the cornea and was naturally reattached without any surgical procedure. At 2 months after the surgery, a well-reattached Descemet's membrane and a clear central cornea were observed.
References
1. Najjar DM, Rapuano CJ, Cohen EJ. Descemet membrane detachment with hemorrhage after alkali burn to the cornea. Am J Ophthalmol. 2004; 137:185–7.
2. Liu DT, Lai JS, Lam DS. Descemet membrane detachment after sequential argon-neodymium: YAG laser peripheral iridotomy. Am J Ophthalmol. 2002; 134:621–2.
4. Potter J, Zalatimo N. Descemet's membrane detachment after cataract extraction. Optometry. 2005; 76:720–4.
5. Yanoff M, Fine BS. Ocular Pathology; A Text and Atlas. Hagerstown, Md: Medical Dept, Harper & Row;1975. p. 176.
6. Maria T Iradier, Eva Moreno, Concepcion Aranguez, et al. Late spontaneous resolution of a massive detachment of Descemet's membrane after phacoemulsification. J Cataract Refract Surg. 2002; 28:1071–3.
7. Nouri M, Pineda R Jr, Azar D. Descemet membrane tear after cataract surgery. Semin Ophthalmol. 2002; 17:115–9.
8. Hoover DL, Giangiacomo J, Benson RL. Descemet's membrane detachment by sodium hyaluronate. Arch Ophthalmol. 1985; 103:805–8.
9. Macsai MS. Total detachment of Descemet's membrane after small-incision cataract extraction. Am J Ophthalmol. 1992; 114:365–6.
10. Anderson CJ. Gonioscopy in no-stitch cataract incisions. J Cataract Refract Surg. 1993; 19:620–1.
11. Mahmood MA, Teichmann KD, Tomey KF, al-Rashed D. Detachment of Descemet's membrane. J Cataract Refract Surg. 1998; 24:827–33.
12. Menezo V, Choong YF, Hawksworth NR. Reattachment of extensive Descemet's membrane detachment following uneventful phaco-emulsification surgery. Eye (Lond). 2002; 16:786–8.
14. Mulhern M, Barry P, Condon P. A case of Descemet's membrane detachment during phacoemulsification surgery. Br J Ophthalmol. 1996; 80:185–6.
15. Assia EI, Levkovich-Verbin H, Blumenthal M. Management of Descemet's membrane detachment. J Cataract Refract Surg. 1995; 21:714–7.
16. Iradier MT, Moreno E, Aranguez C, et al. Late spontaneous resolution of a massive detachment of Descemet's membrane after phacoemulsification. J Cataract Refract Surg. 2002; 28:1071–3.
17. Minkovitz JB, Schrenk LC, Pepose JS. Spontaneous resolution of an extensive detachment of Descemet's membrane following phacoemulsification. Arch Ophthalmol. 1994; 112:551–2.
18. Zeiter HJ, Zeiter JT. Descemet's membrane separation during five hundred forty-four intraocular lens implantations. 1975-1982. J Am Intraocul Implant Soc. 1983; 9:36–9.
19. Donzis PB, Karcioglu ZA, Insler MS. Sodium hyaluronate (Healon) in the surgical repair of Descemet's membrane detachment. Ophthalmic Surg. 1986; 17:735–7.
20. Zusman NB, Waring GO 3rd, Najarian LV, Wilson LA. Sulfur hexafluoride gas in the repair of intractable Descemet's membrane detachment. Am J Ophthalmol. 1987; 104:660–2.
21. Nouri M, Pineda R Jr, Azar D. Descemet membrane tear after cataract surgery. Semin Ophthalmol. 2002; 17:115–9.
22. Macsai MS. Total detachment of Descemet's membrane after small-incision cataract extraction. Am J Ophthalmol. 1992; 114:365–6.
23. Amaral CE, Palay DA. Technique for repair of Descemet membrane detachment. Am J Ophthalmol. 1999; 127:88–90.
25. Macsai MS, Grainer KM, Chisholm L. Repair of Descemet's membrane detachment with perfluoropropane (C3F8). Cornea. 1998; 17:129–34.
26. Shah M, Bathia J, Kothari K. Repair of late Descemet's membrane detachment with perfluoropropane gas. J Cataract Refract Surg. 2003; 29:1242–4.
27. Van Horn DL, Edelhauser HF, Aaberg TM, Pederson HJ. In vivo effects of air and sulfur hexafluoride gas on rabbit corneal endothelium. Invest Ophthalmol. 1972; 11:1028–36.
28. Lee DA, Wilson MR, Yoshizumi MO, Hall M. The ocular effects of gases when injected into the anterior chamber of rabbit eyes. Arch Ophthalmol. 1991; 109:571–5.
29. Foulks GN, de Juan E, Hatchell DL, et al. The effect of perfluoropropane on the cornea in rabbits and cats. Arch Ophthalmol. 1987; 105:256–9.
30. Marcon AS, Rapuano CJ, Jones MR, et al. Descemet's membrane detachment after cataract surgery: management and outcome. Ophthalmology. 2002; 109:2325–30.
31. Patel DV, Phang KL, Grupcheva CN, et al. Surgical detachment of Descemet's membrane and endothelium imaged over time by in vivo confocal microscopy. Clin Experiment Ophthalmol. 2004; 32:539–42.