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Descemet’s membrane tears and loss during phacoemulsification surgery

Poster Details

First Author: A.Aksu TURKEY

Co Author(s):    F. Orucoglu              

Abstract Details


To report a case of Descemet"s membrane tears and lost during phacoemulsification with complete resolution of edema


Birinci Eye Hospital


Case report


A 64-year-old woman underwent phacoemulsification surgery on the right eye and developed tears and partial loss of Descemet’s membrane when the aspiration port inserted through the main incision. Massive corneal edema obscured the view of Desceme’s membrane and the anterior chamber as observed the following day. Scheimpflug imaging were used complementary to slit-lamp examination in the clinical observation. Increased topical corticosteroid instilation had started before applying air temponade. After five days of treatment multiple tears and detachment in Decemet’s membrane were visible and the anterior chamber was filled with air. Despite partial loss of Descemet’s membrane the corneal edema mostly disappeared after five weeks of air bubble injection.


Even with partial loss of Descemet"s membrane complete resolution may achieve after air buble injection. Scheimpflug imaging is useful in diagnosis and monitorization of DM tears and detachments.

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