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Outcomes of SF6 descemetopexy for descemet membrane detachment after cataract surgery

Poster Details

First Author: E.Turan-Vural TURKEY

Co Author(s):    R. Bolac-Unculu   Y. Ercalik   S. Imamoglu   M. Yenerel     

Abstract Details

Purpose:

To analyze the anatomic and visual outcomes of intracameral 20% sulfur hexafluoride (SF6) injection for Descemet membrane detachment (DMD) after clear corneal incision phacoemulsification surgery and to evaluate and follow-up anterior segment OCT.

Setting:

Ophthalmolgy Department, Haydarpasa Training and Research Hospital,Turkey

Methods:

The clinical data of patients who had descemetopexy from August 2010 to July 2014 for Descemet membrane detachment after clear corneal incision phacoemulsification surgery were reviewed. Study included 17 eyes of 17 patients (10 male, 7 female) who underwent descemetopexy using intracameral 20% SF6 injection. Descemet membrane detachment involved the visual axis in all eyes. After the intracameral gas injection all patients was submitted to anterior segment OCT evaluation to verify the position of Descemet's membrane. Anatomical and visual results were evaluated. Successful end points were Descemet’s membrane reattachment,corneal clarity and visual improved.

Results:

The mean age of the patients was 71.3 ± 11.1(44-87 range) years The mean duration between cataract surgery and descemetopexy was 3.2±1.2 days (range 2-14). All of patients had successful reattachment of the Descemet's membrane and corneal clarty restored.At 3 month; the corrected best visual acuity was 20/40 or better in 6 cases, 20/80 in 11 case, We observed increase in intraocular pressure in 11 case. Four case developed early postoperative pupillary block. Visual acuity improved in all cases after regression of the corneal edema. Any case required endothelial keratoplasty

Conclusions:

Intracameral SF6 gas injection descemetopexy for Descemet detachment after cataract surgery was a effective and good anatomic and visual results.But risk of pupillary block and increase in intraocular pressure were very often.

Financial Disclosure:

NONE

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