Descemet's membrane detachment after cataract extraction surgery.
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.
Al-Mezaine
Hani S
HS
Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia. halmezaine@ksu.edu.sa
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
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