title: Intraoperative OCT assisted descemetopexy with stromal vent incisions and intracameral gas injection for case of non-resolving Descemet's membrane detachment.
abstract: Descemet's membrane detachment (DMD) though uncommon in the present day scenario of advancing surgical techniques is a significant complication that requires prompt diagnosis and management. A middle-aged man presented to our hospital with poor gain of vision following cataract surgery. There was significant corneal oedema with DMD which was confirmed on anterior segment optical coherence tomography. We describe a modified continuous intraoperative-guided approach for the management of DMD in cases with oedematous hazy corneas. The aim of this technique is to allow early reattachment of Descemet's membrane in chronic cases where fluid pockets prevent reattachment of the posterior layer of cornea. Our technique involves the use of full thickness stromal vent incisions in the paracentral cornea along with intracameral isoexpansile concentration of gas for the successful settlement of the detached Descemet's membrane.
authors.affiliation: Dr RP Centre for Ophthalmic Sciences, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
authors.forename: Archita
authors.initials: A
authors.lastname: Singh
authors.affiliation: Dr RP Centre for Ophthalmic Sciences, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
authors.forename: Murugesan
authors.initials: M
authors.lastname: Vanathi
authors.affiliation: Dr RP Centre for Ophthalmic Sciences, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
authors.forename: Suman
authors.initials: S
authors.lastname: Sahu
authors.affiliation: Dr RP Centre for Ophthalmic Sciences, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
authors.forename: Saranya
authors.initials: S
authors.lastname: Devi
mesh_terms: D003287:Contrast Media / Q000008:administration & dosage; D003316:Corneal Diseases / Q000601:surgery*; D003886:Descemet Membrane / Q000601:surgery*; D005466:Fluorocarbons / Q000008:administration & dosage; D005740:Gases / Q000008:administration & dosage; D006801:Humans; D056965:Injections, Intraocular; D008297:Male; D008875:Middle Aged; D025321:Surgery, Computer-Assisted; D041623:Tomography, Optical Coherence; D016896:Treatment Outcome
chemical_list: D003287:Contrast Media; D005466:Fluorocarbons; D005740:Gases; C042852:perflutren