title: Descemet Membrane Detachment in Femtosecond Laser-Assisted Cataract Surgery.
abstract: OBJECTIVE
  To report a case series of 4 patients with Descemet membrane detachment (DMD) after undergoing femtosecond laser-assisted cataract surgery incisions.
  
  
  METHODS
  Case report.
  
  
  RESULTS
  DMD was noted at the secondary incision (n = 2) or at the main incision (n = 2). All the secondary incision and 1 main incision DMD were resolved with intraoperative maneuvers. Delay in recognizing DMD intraoperatively at the principal incision in 1 case led to inadvertent aspiration of a part of it and persistent postoperative corneal edema. This complication was handled with Descemet membrane endothelial keratoplasty 1 month after initial surgery.
  
  
  CONCLUSIONS
  DMD can occur after femtosecond laser-assisted cataract surgery, although it is a rare complication as it is in traditional phacoemulsification. The surgeon must be prepared to recognize it, manage it intraoperatively, and treat it postoperatively to reduce the risk of permanent damage to the eye.
authors: *Eye Clinic Day Hospital, São Paulo, Brazil; †Department of Ophthalmology and Visual Sciences, Federal University of São Paulo, São Paulo, Brazil; and ‡Sorocaba Ophthalmologic Hospital-Sorocaba Eye Bank, Sorocaba, Brazil.
authors: Ricardo M
authors: RM
authors: Nosé
authors: Maria Daniela
authors: MD
authors: Rivera-Monge
authors: Adriana S
authors: AS
authors: Forseto
authors: Walton
authors: W
authors: Nosé
mesh_terms: D000368:Aged; D002387:Cataract Extraction / Q000009:adverse effects*; D003316:Corneal Diseases / Q000175:diagnosis / Q000209:etiology*; D003886:Descemet Membrane / Q000473:pathology*; D005260:Female; D006801:Humans; D053685:Laser Therapy / Q000009:adverse effects*; D008875:Middle Aged; D014792:Visual Acuity / Q000502:physiology