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10 - 12 February 2017, MECC Maastricht,The Netherlands.

This Meeting has been awarded 15 CME credits.


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Outcome of conservative treatment vs intraoperative air descemetopexy for inadvertent localised Descemet's membrane detachment during phacoemulsification surgery

Poster Details

First Author: T. Khanam UK

Co Author(s):                     

Abstract Details


To analyse the outcome of intraoperative air bubble descmetopexy post phacoemulsification versus conservative management of localized descemet’s membrane detachment.


University College London Hospital NHS Trust


20 consecutive eyes of 25 patients with localized descemets membrane detachment during phacoemulsification were enrolled. First 20 eyes were managed conservatively and the subsequent 20 eyes were injected with intracameral 100% air bubble at the end of surgery.


All 20 eyes had phacoemulsification with IOL insertions. Successful reattachment of Descemets membrane and resolution of corneal oedema occurred in all cases. Mean time for corneal oedema resolution in-group 1 (conservative treatment) was 20 days versus 8 days in-group 2 (air bubble treatment). Best-corrected visual acuity (BCVA) at 3 months in-group 1 was 0.2 log Mar or better. In comparison, BCVA in-group 2 was 0.10 log Mar or better.


Air descemetopexy appears to be superior to conservative treatment with regards to quicker visual recovery and achieving a better BCVA after localized descemets membrane detachment during phacoemulsification surgery.

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