Consecutive Descemet Membrane Detachment After Successive Phacoemulsification

Purpose. To report a patient with consecutive Descemet's membrane (DM) detachments after successive phacoemulsification, review other reported patients with bilateral DM detachments, and explore the possibility of anatomic predisposition to DM detachment in some patients. Methods. Our patient's course was reviewed along with the reported experience with three other patients with bilateral DM detachments. Results. No clear underlying etiology of DM detachment was found in our patient or any of the other three reported patients reviewed. Conclusions. Some patients may be anatomically predisposed to DM detachment possibly because of an abnormality in the fibrillary stromal attachment to DM. Early postoperative surgical intervention often leads to satisfactory visual results.

[1]  A. Sorenson,et al.  Bilateral Descemet membrane detachments. , 2000, Archives of ophthalmology.

[2]  J. A. Gault,et al.  Repair of Descemet's membrane detachment with intracameral injection of 20% sulfur hexafluoride gas. , 1996, Cornea.

[3]  M. Walland Detachment of Descemet’s Membrane , 1996, Journal of cataract and refractive surgery.

[4]  P. Binder,et al.  High-voltage electron microscopy of normal human cornea. , 1991, Investigative ophthalmology & visual science.

[5]  Mackool Rj,et al.  Descemet membrane detachment. , 1977, Archives of ophthalmology.

[6]  S. Holtz,et al.  Descemet membrane detachment. , 1977, Archives of ophthalmology.

[7]  Monroe Wm Gonioscopy after cataract extraction. , 1971 .

[8]  W. Monroe Gonioscopy After Cataract Extraction , 1971, Southern medical journal.

[9]  G. M. Sparks Descemetopexy. Surgical reattachment of stripped Descemet's membrane. , 1967, Archives of ophthalmology.

[10]  H. Sugar Prognosis in stripping of Descemet's membrane in cataract extraction. , 1967, American journal of ophthalmology.

[11]  H. Scheie STRIPPING OF DESCEMET'S MEMBRANE IN CATARACT EXTRACTION. , 1965, Transactions of the American Ophthalmological Society.