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Pneumodescemetopexy for Descemet's membrane detachment after phacoemulsification

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Session Details

Session Title: Presented Poster Session: Cataract Surgery Complications and Management III

Session Date/Time: Sunday 06/09/2015 | 09:30-11:00

Paper Time: 09:30

Venue: Poster Village: Pod 1

First Author: : C.Fan HONG KONG

Co Author(s): :    C. Liu   T. Leung           

Abstract Details


To evaluate the functional and anatomical outcomes of pneumodescemetopexy for descemet's membrane detachment (DMD) after phacoemulsification, and to determine prognostic factors associated with procedure failure


Department of Ophthalmology, United Christian Hospital, Hong Kong


Retrospective study of 29 eyes from 29 patients who underwent pneumodescemetopexy for DMD after phacoemulsification. 19 patients underwent pneumodescemetopexy during phacoemulsification and 10 patients underwent pneumodescemetopexy as second operation.


All eyes (100%) had descemet's membrane re-attached with corneal oedema resolved at final visit (18 eyes required 1 pneumodescemetopexy, 8 eyes required 2 pneumodescemetopexies, and 3 eyes required 3 pneumodescemetopexies). The visual acuity improved from 0.95 logMAR units to 0.39 logMAR units at final visit (p less than 0.001). The risk factors for requiring more than 1 pneumodescemetopexy to re-attach descemet's membrane included: not performing pneumodescemetopexy during phacoemulsification (odd ratio=10.0, P=0.045), and central corneal involvement by DMD (odd ratio=9.0, P=0.018).


Pneumodescemetopexy is an effective treatment for DMD after phacoemulsification with good anatomical and functional outcomes.

Financial Interest:


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