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Treatment of inferior Descemet membrane detachment secondary to cataract surgery with air injection and supine head position. | LitMetric

AI Article Synopsis

  • A patient developed inferior Descemet membrane detachment after cataract surgery, which caused corneal edema two weeks post-operation.
  • Treatment involved injecting a small air bubble and advising the patient to lie supine for two hours to help reattach the membrane.
  • Five days later, the Descemet membrane was successfully reattached, the cornea cleared, and remained stable one month after the procedure without the need for further treatment.

Article Abstract

Purpose: To describe a case of a patient with inferior Descemet membrane detachment that resolved after injection of small air bubble and supine positioning.

Methods: A patient presented two weeks after cataract surgery with inferior persistent corneal edema. A Descemet membrane detachment involving the inferior cornea was revealed. Injection of small air bubble was performed and the patient was advised to stay in a supine position for the next two hours and then as much as reasonably possible to allow the air bubble to press the Descemet to the posterior corneal stroma.

Results: Five days after injection, the Descemet membrane was reattached to the corneal stroma and the cornea became clear without any evidence of edema. One month post-air injection the cornea remained clear and the Descement membrane attached.

Conclusions: Air injection with supine position was efficient for the resolution of inferior partial Descemet detachment after cataract surgery. The edema resolved without any further intervention.

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Source
http://dx.doi.org/10.3109/08820538.2011.622338DOI Listing

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