title: Supra-Descemet's Fluid Drainage with Simultaneous Air Injection: An Alternative Treatment for Descemet's Membrane Detachment.
abstract: In this report, we present an alternative technique to manage Descemet's membrane detachment (DMD). We call the technique supra-Descemet's fluid drainage with intracameral air injection. Under topical anesthesia, we injected air through the stab incision to fill 2/3 of the anterior chamber. Then we inserted the tip of a curved 10/0 needle through the corneal surface (entry angle at 45 degrees) into the supra-Descemet's area 3 times to drain this fluid. In our method, we neither injected expanding gas or viscoelastic nor used a suture. Consequently, there was little chance for suture-induced astigmatism or increased intraocular pressure. This technique may be considered a relatively safe and simple surgical method for the management of postoperative DMD.
authors: Department of Ophthalmology, Dr. Khodadoust Eye Hospital, Shiraz, Iran.
authors: Alireza
authors: A
authors: Ghaffariyeh
authors: Nazafarin
authors: N
authors: Honarpisheh
authors: Tooraj
authors: T
authors: Chamacham