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First Author: M.Franco PORTUGAL
Co Author(s): J. Neves L. Colaço R. Seldon H. Filipe
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To describe a case of a patient with Descemet membrane detachment secondary to cataract surgery that resolved after injection of small air bubble.
We describe a case of a seventy-two year-old woman with pseudoexfoliation syndrome in the right eye and no past history of ocular trauma. The patient was submitted to facoemulsification and implantation of intraocular lens in the right eye, without intraoperative complications.
The patient presented two weeks after cataract surgery with corneal edema and endothelial folds. The anterior segment optical coherence tomography revealed a descemet membrane detachment to almost 360ẃ. Injection of small air bubble was performed.
One day after injection, the anterior segment examination revealed reduction of corneal edema and Descemet membrane reattached to the corneal stroma. One month post-air injection the cornea was clear and the Descement membrane attached.
Air injection was efficient for the resolution of Descemet detachment, but the intervention and treatment decisions should be done on a case by case basis. In your case the anterior segment optical coherence tomography confirmed the diagnosis and the therapeutic success.