Descemet Detachment Following Uncomplicated Cataract Surgery- Poster
Published 2025 - 43rd Congress of the ESCRS
Reference: PP05.11 | Type: Poster | DOI: 10.82333/w2rk-bc72
Authors: Diana Tricorache 1 , Andreia Alexe 1 , Eylul Firinciogullari* 1 , Ionut Duculescu 1 , Anca Munteanu 1 , Anca Munteanu 1 , Ileana Ilea 1 , Aida Geamanu 1
1Ophthalmology,University Emergency Hospital Bucharest,bucharest ,Romania
Purpose
The purpose of this poster is to analyze risk factors, clinical presentation, and management outcomes of Descemet membrane detachment (DMD) following uncomplicated cataract surgery. By correctly identifying predisposing factors and evaluating the efficacy of various treatment modalities, we aim to enhance understanding and improve patient outcomes associated with this complication.
Setting
The case involves a patient who developed Descemet membrane detachment (DMD) following an uncomplicated cataract surgery. The surgery was performed at the University Emergency Hospital Bucharest , a leading tertiary medical institution in Romania.
Methods
88-year-old female patient with a history of age-related macular degeneration who presented with bilateral decreased visual acuity, more pronounced in the right eye (RE). Preoperative assessments revealed: visual acuity: RE: 0.15 with correction; LE: 0.2 with correction; intraocular pressure: 14 mmHg in both eyes; slit-lamp examination: BE: nuclear lens opacities (LOCS III); Specular Microscopy (RE): endothelial cell density of 2,212 cells/mm² without polymegathism or pleomorphism. Optical biometry (RE): IOL power calculation (Barrett formula): 24.50 D for a monofocal, hydrophobic, acrylic lens.
The patient underwent uncomplicated cataract surgery on the RE with posterior chamber intraocular lens implantation. The CDE was 14.21.
Results
On the first postoperative day, the RE exhibited corneal edema and Descemet membrane folds, with visual acuity reduced to hand motion. Anterior segment optical coherence tomography confirmed a DMD extending from the temporal side-port to the nasal cornea. Initial descemetopexy with air tamponade achieved partial reattachment; however, a persistent temporal detachment necessitated a second descemetopexy with placement of a 10-0 nylon suture at the temporal side-port.
The day following the second procedure, the patient's RE visual acuity improved to 0.2, with significant resolution of corneal edema and presence of an air bubble in the anterior chamber.
Conclusions
Prompt identification and management of DMD is crucial for favorable visual outcomes following cataract surgery. This case highlights the effectiveness of timely descemetopexy in resolving DMD and restoring visual function.