CASE REPORT
Venting incision of cornea and intracameral air repairs Descemet membrane detachment three months after phacoemulsification surgery
 
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1
Department of Ophthalmology, National University of Malaysia Medical Centre, Kuala Lumpur, Malaysia
2
Muthusamy Virtual University
3
Wong Yiing Cheong Specialist Eye Centre, Kuala Lumpur, Malaysia
4
Gleneagles Hospital Kuala Lumpur, Kuala Lumpur, Malaysia
CORRESPONDING AUTHOR
Mae-Lynn Catherine Bastion   

Department of Ophthalmology, National University of Malaysia Medical Centre, Jalan Yaacob Latif, 56000 Kuala Lumpur, Malaysia. Tel.: 60391455983.
Submission date: 2019-02-19
Final revision date: 2020-02-05
Acceptance date: 2020-02-05
Online publication date: 2020-05-26
 
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Cataract surgery is one of the most commonly performed operations in the world. Descemet membrane detachment (DMD) is a potentially blinding complication of this operation.

Aim:
To describe the successful treatment of DMD three months after initial surgery.

Case study:
Retrospective case review.

Results and discussion:
A 69-year-old bilateral pseudophakic man presented with persistent blurring of vision in his left eye despite having undergone left eye cataract surgery for phacomorphic glaucoma 10 weeks previously. Examination and anterior segment optical coherence tomography (AS-OCT) showed left descemet detachment involving the visual axis. Despite the long duration, he underwent left cornea venting incision combined with intracameral air injection which successfully improved the cornea clarity and reattached the descemet on AS-OCT. When this was combined with treatment for cystoid macula oedema, he was able to attain best corrected visual acuity of 6/6-2, N5 3 months after the cornea venting procedure.

Conclusions:
Treatment with cornea venting incision combined with air injection is an effective method of reattaching the descemet membrane in late presentation of DMD.

CONFLICT OF INTEREST
No conflict of interest.
FUNDING
None declared.
 
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