title: Surgical repair of scrolled descemet's membrane detachment with intracameral injection of 1.8% sodium hyaluronate.
abstract: We report the case of a 76-year-old woman with scrolled Descemet's membrane detachment (DMD) that was successfully treated by an intracameral injection of 1.8% sodium hyaluronate. During phacoemulsification cataract surgery, an undulating DMD involving the central cornea was observed and air tamponade into the anterior chamber was performed. The patient underwent surgical repair 2 weeks after the unsuccessful intracameral air injection. To increase the tamponade pressure and surface tension on the scrolled flap, viscoelastic material was injected into the air-filled anterior chamber. Corneal edema started subsiding clinically after the injection of sodium hyaluronate. Descemetopexy with sodium hyaluronate can successfully repair scrolled DMD and injection of viscoelastic material into the air-filled anterior chamber facilitates unfolding of the scrolled flap of DMD.
authors.affiliation: Ministry of Health Ankara Ulucanlar Eye Research and Education Hospital, 3rd Eye Clinic, Ulucanlar Cad. No: 59 Ulucanlar, Ankara, Turkey. kensonmez@yahoo.com
authors.forename: Kenan
authors.initials: K
authors.lastname: Sonmez
authors.forename: Pehmen Yasin
authors.initials: PY
authors.lastname: Ozcan
authors.forename: Ayse Gul Koçak
authors.initials: AG
authors.lastname: Altintas
mesh_terms: D000368:Aged; D000867:Anterior Chamber / Q000187:drug effects*; D002387:Cataract Extraction / Q000379:methods; D003131:Combined Modality Therapy; D015715:Corneal Edema / Q000503:physiopathology; D003886:Descemet Membrane / Q000473:pathology / Q000601:surgery*; D058450:Endotamponade; D005260:Female; D006801:Humans; D006820:Hyaluronic Acid / Q000008:administration & dosage*; D056965:Injections, Intraocular; D018918:Phacoemulsification / Q000009:adverse effects*; D010781:Photography; D011183:Postoperative Complications; D012422:Rupture, Spontaneous; D055675:Viscosupplements / Q000008:administration & dosage*
chemical_list: D055675:Viscosupplements; D006820:Hyaluronic Acid
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