title: Descemet's membrane detachment after cataract extraction surgery.
abstract: Descemet's membrane detachment (DMD) is a rare but potentially serious complication of intraocular surgery, most commonly cataract extraction. Many predisposing factors of DMD have been postulated; however, none have proved to be significant. Most DMDs are surgically induced; however, the occurrence of this entity bilaterally, during or after otherwise uneventful cataract extraction surgery, might be related to an inherent abnormal adhesion between the stroma and Descemet's membrane or pre-existing endothelial abnormalities. Early recognition and proper management are important to preserve the vision and avoid permanent corneal damage. Although a small, localized detachment at the wound area tends to heal by spontaneous re-attachment, a larger or more progressive detachment requires surgical intervention because the prognosis of spontaneous re-attachment is poor.
authors.affiliation: Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia. halmezaine@ksu.edu.sa
authors.forename: Hani S
authors.initials: HS
authors.lastname: Al-Mezaine
mesh_terms: D002387:Cataract Extraction / Q000009:adverse effects*; D003316:Corneal Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy; D016039:Corneal Transplantation; D003886:Descemet Membrane; D006801:Humans; D015994:Incidence; D018918:Phacoemulsification / Q000009:adverse effects / Q000379:methods; D013537:Sutures
references.citation: South Med J. 1971 Sep;64(9):1122-4
references.pmid: 4938078
references.citation: Arch Ophthalmol. 1991 Apr;109(4):571-5
references.pmid: 2012561
references.citation: Clin Exp Ophthalmol. 2006 Nov;34(8):797-9
references.pmid: 17073905
references.citation: Am J Ophthalmol. 1999 Jan;127(1):88-90
references.pmid: 9933007
references.citation: Arch Ophthalmol. 1967 Jul;78(1):31-4
references.pmid: 6027733
references.citation: J Cataract Refract Surg. 2009 Apr;35(4):778-81
references.pmid: 19304105
references.citation: J Cataract Refract Surg. 2003 Jun;29(6):1242-4
references.pmid: 12842700
references.citation: Am J Ophthalmol. 1996 Jun;121(6):718-20
references.pmid: 8644821
references.citation: Ophthalmic Surg. 1980 Aug;11(8):492-4
references.pmid: 6999409
references.citation: J Cataract Refract Surg. 2002 Jun;28(6):1071-3
references.pmid: 12036658
references.citation: Cornea. 2001 Jul;20(5):530-3
references.pmid: 11413412
references.citation: Am J Ophthalmol. 2000 Dec;130(6):833-4
references.pmid: 11124308
references.citation: Eur J Ophthalmol. 2006 Sep-Oct;16(5):758-60
references.pmid: 17061232
references.citation: Eye (Lond). 2002 Nov;16(6):786-8
references.pmid: 12439680
references.citation: Trans Am Ophthalmol Soc. 1964;62:140-52
references.pmid: 14269887
references.citation: Trans Am Ophthalmol Soc. 1928;26:427-37
references.pmid: 16692811
references.citation: Br J Ophthalmol. 1996 Feb;80(2):185-6
references.pmid: 8814754
references.citation: Am J Ophthalmol. 1987 Dec 15;104(6):660-2
references.pmid: 3688108
references.citation: Am J Ophthalmol. 1986 Jan 15;101(1):28-40
references.pmid: 3510548
references.citation: J Cataract Refract Surg. 1998 Jun;24(6):827-33
references.pmid: 9642596
references.citation: J Cataract Refract Surg. 1992 Sep;18(5):495-9
references.pmid: 1403755
references.citation: Cornea. 2001 Aug;20(6):670-1
references.pmid: 11473175
references.citation: Arch Ophthalmol. 2008 May;126(5):730-2
references.pmid: 18474789
references.citation: J Cataract Refract Surg. 1995 May;21(3):250-3
references.pmid: 7674157
references.citation: Cornea. 1995 Jul;14(4):436-7
references.pmid: 7671616
references.citation: Cornea. 2009 Dec;28(10):1160-3
references.pmid: 19770730
references.citation: Am J Ophthalmol. 1967 Jan;63(1):140-3
references.pmid: 6017666
references.citation: Ophthalmic Surg. 1991 Dec;22(12):753-5
references.pmid: 1787944
references.citation: Ophthalmology. 2002 Dec;109(12):2325-30
references.pmid: 12466178
references.citation: J Cataract Refract Surg. 1995 Nov;21(6):714-7
references.pmid: 8551454
references.citation: Clin Exp Ophthalmol. 2004 Oct;32(5):539-42
references.pmid: 15498071
references.citation: Cornea. 1996 Sep;15(5):483-9
references.pmid: 8862925
references.citation: Ophthalmic Surg Lasers Imaging. 2006 Jul-Aug;37(4):291-7
references.pmid: 16898389
references.citation: J Cataract Refract Surg. 1993 Sep;19(5):620-1
references.pmid: 8229719
references.citation: Eur J Ophthalmol. 2009 Sep-Oct;19(5):723-8
references.pmid: 19787588
references.citation: J Glaucoma. 2000 Apr;9(2):200-2
references.pmid: 10782634
references.citation: Ophthalmic Surg. 1980 Mar;11(3):189-91
references.pmid: 7383522
references.citation: Arch Ophthalmol. 1978 Mar;96(3):542
references.pmid: 629694
references.citation: Arch Ophthalmol. 1985 Jun;103(6):805-8
references.pmid: 4004619
references.citation: Cornea. 1998 Mar;17(2):129-34
references.pmid: 9520186
references.citation: Arch Ophthalmol. 1977 Mar;95(3):459-63
references.pmid: 843278
references.citation: Arch Ophthalmol. 2003 Jun;121(6):903-4
references.pmid: 12796268
references.citation: Optometry. 2005 Dec;76(12):720-4
references.pmid: 16361034