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Descemet membrane detachment.
Surv Ophthalmol
July 2021
Department of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India. Electronic address:
Descemet membrane detachment (DMD) is a potential vision-threatening complication that occurs most commonly after cataract surgery. DMD has also been reported to occur in various other surgeries such as keratoplasty, iridectomy, vitrectomy, trabeculectomy, holmium laser sclerostomy, alkali burn, and viscocanalostomy. Major risk factors include advanced age, preexisting endothelial diseases like Fuchs dystrophy or abnormality in the Descemet membrane and stromal interface, hard cataract, prolonged surgical time, ragged clear corneal incisions, and inadvertent trauma with blunt instruments or phacoemulsification probe.
View Article and Find Full Text PDFClosed-chamber haptic reexternalization for posteriorly displaced sclerotomy and inadequate haptic tuck in glued posterior chamber intraocular lenses.
J Cataract Refract Surg
February 2015
From Dr. Agarwal Eye Hospital and Eye Research Centre, Chennai, India.
Unlabelled: The glued posterior chamber intraocular lens (PC IOL) requires externalization of a sufficient length of both haptics to obtain an adequate intrascleral tuck, which is vital for stable IOL fixation. One cause of a decreased length of externalized haptic may be a sclerotomy that is inadvertently placed posteriorly. We describe a technique to handle this situation by creating a fresh sclerotomy anterior to the first one, followed by internalizing the haptic and reexternalizing it through the new sclerotomy.
View Article and Find Full Text PDFComplications of inadvertent filtering blebs after cataract extraction.
J Cataract Refract Surg
March 2012
Department of Ophthalmology, University of Virginia Medical Center, Charlottesville, Virginia, USA.
Unlabelled: We report 2 cases of inadvertent filtering blebs that developed vision-threatening complications many years after uneventful cataract extraction with scleral incisions. These inadvertent blebs can create complications similar to the intentionally produced blebs from trabeculectomy surgery; thus, follow-up and management should be handled in a similar manner.
Financial Disclosure: No author has a financial or proprietary interest in any material or method mentioned.
An age-based method for planning sclerotomy placement during pediatric vitrectomy: a 12-year experience.
Trans Am Ophthalmol Soc
August 2008
Department of Ophthalmology, Vitreoretinal Section, Medical College of Wisconsin, Milwaukee, USA.
Purpose: Pars plana vitrectomy (PPV) in children requires that sclerotomy placement be adjusted for changing dimensions of the ciliary body during ocular development. Experience with an aged-based method for sclerotomy placement is described.
Methods: Using data from previously reported morphometric studies on ciliary body length by age, an age-based method was used for planning sclerotomy location in children between 1 month and 18 years of age.
Phaco-trabeculotomy combined with deep sclerectomy, a new technique in combined cataract and glaucoma surgery: complication profile.
Acta Ophthalmol Scand
March 2007
Centre of Ophthalmology, University of Cologne, Cologne, Germany.
Purpose: Combined phacoemulsification, intraocular lens implantation and trabeculectomy (PTE) is currently the standard procedure for most ophthalmic surgeons for treating uncontrolled open-angle glaucoma and cataract at the same time. The present pilot study was designed to prospectively evaluate outcomes in glaucoma patients who underwent a new technique of phaco-trabeculotomy plus deep sclerectomy, with particular attention to the complication profile.
Methods: A consecutive series of 15 patients with uncontrolled open-angle glaucoma and cataract underwent combined glaucoma and cataract surgery.
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