A combined technique for surgical repair of Descemet's membrane detachments.
Descemet's membrane detachments are an uncommon complication after cataract surgery that can result in severe visual loss. A combined technique of intracameral gas injection and transcorneal suturing for the repair of Descemet's membrane detachments is described.



In this interventional case series, four cases of Descemet's membrane detachments with associated corneal edema observed following cataract surgery were successfully repaired using a combined technique of intracameral gas injection and transcorneal suturing.



In all cases, Descemet's membranes were successfully reattached using the aforementioned technique. In three cases, the associated corneal edema resolved postoperatively. In the fourth case, the patient required a penetrating keratoplasty for persistent corneal edema despite immediate anatomical success following reattachment.



Combined intracameral gas and transcorneal suturing appears to be an effective technique in the repair of Descemet's membrane detachments. Early intervention may prevent persistent or recurrent corneal edema.
Jeng
Bennie H
BH
Cole Eye Institute, Cleveland Clinic Foundation, OH 44195, USA.
Meisler
David M
DM
D000368:Aged; D000369:Aged, 80 and over; D003131:Combined Modality Therapy; D015715:Corneal Edema / Q000209:etiology; D003886:Descemet Membrane / Q000293:injuries*; D005131:Eye Injuries / Q000188:drug therapy* / Q000209:etiology / Q000601:surgery*; D006801:Humans; D018918:Phacoemulsification / Q000009:adverse effects; D011183:Postoperative Complications; D012421:Rupture; D013459:Sulfur Hexafluoride / Q000008:administration & dosage*; D013536:Suture Techniques; D014792:Visual Acuity
D013459:Sulfur Hexafluoride