Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance
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10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits

 

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Descemet's membrane detachment in femto laser-assisted cataract surgery (FLACS)

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Session Details

Session Title: Presented Poster Session: FLACS

Session Date/Time: Monday 12/09/2016 | 15:00-16:30

Paper Time: 15:00

Venue: Poster Village: Pod 4

First Author: : R.Nose BRAZIL

Co Author(s): :    M. Rivera-Monge   C. Francesconi   A. Forseto   W. Nose     

Abstract Details

Purpose:

To report a case series and the approach of Descemet Membrane Detachment (DMD) after performing Femtosecond laser assisted cataract surgery (FLACS) incisions with two different machines.

Setting:

Department of Ophthalmology and Visual Sciences of the Federal University of São Paulo, Brazil. Eye Clinic Day Hospital São Paulo, Brazil

Methods:

Report of six cases and the management of Descemet Membrane Detachment during the creation of the incisions in FLACS. In four patients was used the LenSx Laser (Alcon, Ft Worth, TX, USA) and in two cases the LDV Z8 (Ziemer, Bial, Switzerland) was used.

Results:

DMD was noted at the secondary incision (n=3), at the main incision (n=2), and in both incisions (n=1). In five cases DMD were solved with intraoperative maneuvers. In one patient the detachment wasn't noted, and the Descemet Membrane was aspirated by the phaco tip. Due to this a Descemet Membrane Endothelial Keratoplasty (DMEK), have to be performed.

Conclusions:

DMD is a rare complication that can occur following FLACS, with any Femtosecond machine. The surgeon must be prepared to recognize it, and know how to manage it intraoperatively and to treat it postoperatively reducing the risk of permanent damage of the eye.

Financial Disclosure:

NONE

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