Descemet membrane detachment after heavy silicone oil removal from the anterior chamber.
OBJECTIVE
The aim of this study was to report a case of a central Descemet membrane detachment after heavy silicone oil removal from the anterior chamber.


METHODS
This is a case report of a patient operated with scleral buckling and heavy silicone oil implantation for recurrent retinal detachment. In the patient's follow-up examination, silicone oil was found to completely fill the anterior chamber. He underwent silicone extraction through a paracentesis from the anterior chamber. Immediately after the surgery, a central Descemet membrane detachment combined with corneal edema was identified on slit-lamp examination, and confirmed by anterior segment optical coherence tomography. The detached Descemet membrane was tamponaded successfully with the air bubble injection technique.


RESULTS
Four days later, the patient's cornea appeared to be clear, and the Descemet membrane was found to be attached to the corneal stroma with no presence of silicone oil in the anterior chamber.


CONCLUSIONS
Descemet membrane detachment is a possible and rare complication that occurs after heavy silicone oil removal from the anterior chamber.
*Department of Ophthalmology, Vardinoyiannion Eye Institute of Crete (VEIC), Faculty of Medicine, University of Crete, Heraklion, Crete, Greece; and †Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami, Miami, FL.
George D
GD
Kymionis
Konstantinos I
KI
Tsoulnaras
Niki A
NA
Xanthopoulou
Nektarios E
NE
Klados
Miltiadis K
MK
Tsilimbaris
D000388:Air; D003316:Corneal Diseases / Q000209:etiology* / Q000601:surgery; D003886:Descemet Membrane / Q000473:pathology*; D004322:Drainage / Q000009:adverse effects*; D058450:Endotamponade / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012163:Retinal Detachment / Q000601:surgery*; D012591:Scleral Buckling; D012827:Silicone Oils
D012827:Silicone Oils; C515608:densiron