ESCRS - POCAT220 - Intraoperative Detection Of Non-Flap Descemet Membrane Detachment During Cataract Surgery In Two Patients

Intraoperative Detection Of Non-Flap Descemet Membrane Detachment During Cataract Surgery In Two Patients

Published 2026 - 44th Congress of the ESCRS

Reference: POCAT220 | Type: Poster | DOI: 10.82333/hj93-nw07

Authors: Dr Wan-Lin Wu* 1 , Prof. Shu-Wen Chang 2

1Department of Ophthalmology,Far Eastern Memorial Hospital,New Taipei City,Taiwan, 2Department of Ophthalmology,Far Eastern Memorial Hospital,New Taipei City,Taiwan;Department of Ophthalmology,National Taiwan University Hospital,Taipei,Taiwan

Purpose

To report signs of non-flap, planar Descemet membrane detachment during phacoemulsification.

Setting

Descemet membrane detachment (DMD) is a significant complication during phacoemulsification. While flap-type detachments are commonly apparent, non-flap, planar DMD can be subtle and hard to detect. Early recognition of DMD facilitate prompt management and improves surgical outcome.

Methods

We present two cases of intraoperatively detected non-flap, planar DMD which occurred at different surgical stages during phacoemulsification, with distinct intraoperative presentation. In both cases, the detachments were identified during surgery and intraoperative reattachment were accomplished.

Results

During the early postoperative period, both patients had clear cornea and good visual outcome.

Conclusions

Early recognition of DMD allows prompt management and can lead to favorable anatomical and functional outcomes.