“Large” Descemet membrane detachment successfully repaired with intracameral air injection

2010 ◽  
Vol 45 (3) ◽  
pp. 294-295 ◽  
Author(s):  
Guoping Qing ◽  
Jing Fu ◽  
Ningli Wang
2018 ◽  
Vol 10 (2) ◽  
pp. 180-183 ◽  
Author(s):  
Jeewan S. Titiyal ◽  
Manpreet Kaur ◽  
Sana Tinwala ◽  
Ruchita Falera

Background: A double anterior chamber may be observed after deep anterior lamellar keratoplasty (DALK) and the management may be difficult especially in cases with a total descemet membrane detachment (DMD). Case Observations: We describe a novel “reverse double bubble” surgical technique for safe and effective reattachment of  total DMD following DALK. Total DMD with air bubble in the interface was noted on the first postoperative day following DALK for healed keratitis. Intracameral air was injected via a 30-gauge needle inserted through a partial thickness MVR entry made at the posterior limbus, without disturbing the interface air-bubble. During this maneuver, the interface bubble did not change in size and moved towards the centre. The two distinct air bubbles, one in interface and other in anterior chamber indicated that air injection was in the anterior chamber, as per the reverse double bubble technique. The interface air bubble was removed by gently milking with an iris repositor towards the end of surgery. Thus, successful reattachment of DM was achieved despite difficult assessment of the plane of injection with the DM lying fl at on the surface of the iris. Conclusion: The reverse double bubble technique aids in the safe and successful reattachment of total DMD following intraocular surgeries.


Author(s):  
Mae-Lynn Catherine Bastion ◽  
Yiing Cheong Wong ◽  
Aida Zairani Zahidin

Introduction: Cataract surgery is one of the most commonly performed operations in the world. Descemet membrane detachment (DMD) is a potentially blinding complication of this operation. Aim: To describe the successful treatment of DMD three months after initial surgery. Case study: Retrospective case review. Results and discussion: A 69-year-old bilateral pseudophakic man presented with persistent blurring of vision in his left eye despite having undergone left eye cataract surgery for phacomorphic glaucoma 10 weeks previously. Examination and anterior segment optical coherence tomography (AS-OCT) showed left descemet detachment involving the visual axis. Despite the long duration, he underwent left cornea venting incision combined with intracameral air injection which successfully improved the cornea clarity and reattached the descemet on AS-OCT. When this was combined with treatment for cystoid macula oedema, he was able to attain best corrected visual acuity of 6/6-2, N5 3 months after the cornea venting procedure. Conclusions: Treatment with cornea venting incision combined with air injection is an effective method of reattaching the descemet membrane in late presentation of DMD.


2012 ◽  
Vol 27 (1-2) ◽  
pp. 22-24 ◽  
Author(s):  
George D. Kymionis ◽  
Georgios A. Kontadakis ◽  
Argyro D. Plaka ◽  
Miltiadis K. Tsilimbaris

2004 ◽  
Vol 137 (1) ◽  
pp. 195-196 ◽  
Author(s):  
Hiroko Fujimoto ◽  
Takanori Mizoguchi ◽  
Shinichiro Kuroda ◽  
Makoto Nagata

2004 ◽  
Vol 137 (1) ◽  
pp. 185-187 ◽  
Author(s):  
Dany M. Najjar ◽  
Christopher J. Rapuano ◽  
Elisabeth J. Cohen

Author(s):  
P. Diaz-Aljaro ◽  
A. Monés-Liivina ◽  
N. Romanic-Bubalo ◽  
F. Castillo Capponi ◽  
A. Sabala-Llopart

2013 ◽  
Vol 131 (4) ◽  
pp. 533 ◽  
Author(s):  
Zaid Shalchi ◽  
David P. S. O’Brart ◽  
Luca Ilari

Cornea ◽  
2016 ◽  
Vol 35 (4) ◽  
pp. 562-564 ◽  
Author(s):  
Ricardo M. Nosé ◽  
Maria Daniela Rivera-Monge ◽  
Adriana S. Forseto ◽  
Walton Nosé

Sign in / Sign up

Export Citation Format

Share Document