title: [Descemetectomy as therapy option for visually disturbing roll in Descemet's membrane].
abstract: OBJECTIVE
  The aim was to demonstrate the feasibility of targeted removal of a central visually disturbing roll in Descemet's membrane after complicated cataract surgery.
  
  
  METHODS
  
  
  
  METHODS
  a 76-year-old patient complained of halos and reduced visual acuity after external cataract surgery. At slit-lamp examination a central roll in Descemet's membrane was found (2 × 2 mm).
  
  
  RESULTS
  A targeted central descemetectomy was performed by circular descemetorhexis around the defect. Early postoperative visual acuity improved and halos disappeared. At 2 months postoperatively best corrected visual acuity (BCVA) was 1.0 and the endothelial cell count was not significantly changed.
  
  
  CONCLUSIONS
  Central targeted descemetorhexis is a safe therapeutic option for visually disturbing defects of Descemet's membrane.
authors: Zentrum für Augenheilkunde, Klinik und Poliklinik für Allgemeine Augenheilkunde, Universität zu Köln, Deutschland. claus.cursiefen@uk-koeln.de
authors: C
authors: C
authors: Cursiefen
authors: B
authors: B
authors: Bachmann
mesh_terms: D000368:Aged; D002387:Cataract Extraction / Q000009:adverse effects*; D003886:Descemet Membrane / Q000293:injuries* / Q000601:surgery*; D057111:Descemet Stripping Endothelial Keratoplasty / Q000379:methods*; D005240:Feasibility Studies; D006801:Humans; D008297:Male; D016896:Treatment Outcome; D014786:Vision Disorders / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control*
references: Cornea. 2006 Sep;25(8):987-90
references: 17102683
references: Ophthalmology. 2011 Feb;118(2):294-301
references: 20723996
references: Ophthalmologe. 2010 Apr;107(4):370-6
references: 20567957
references: Am J Ophthalmol. 2012 Jun;153(6):1082-90.e2
references: 22397955
references: Br J Ophthalmol. 2011 Jul;95(7):1006-9
references: 21398412
references: Am J Ophthalmol. 2012 Aug;154(2):290-296.e1
references: 22633346
references: Cornea. 1998 Sep;17(5):468-70
references: 9756439
references: Cornea. 2011 May;30(5):580-7
references: 21598430
references: Am J Ophthalmol. 2011 Oct;152(4):537-542.e2
references: 21726845
references: Arch Ophthalmol. 2008 Apr;126(4):461-4
references: 18413512