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A 35 year-old male patient with pellucid marginal corneal degeneration underwent crescentic lamellar excision with autolamellar dissection on his left eye. One month later, the patient developed localized corneal edema overlying the area of the crescentic resection due to Descemet membrane detachment. The Snellen corrected visual acuity reduced from 6/15 one week postoperatively to 2/60 following the development of corneal edema. The fluid that collected in the interface was removed with a blunt 30-gauge cannula, and air was injected into the anterior chamber to oppose the two corneal layers. Corrected visual acuity improved to 6/12 over 1 month, and to 6/9 seven months later. The corneal edema resolved over 2 months. Crescentic lamellar excision with autolamellar dissection could be associated with Descemet membrane detachment and corneal edema; however, this complication has a very good outcome when managed with a minimally invasive procedure.

Management of Descemet Detachment following Crescentic Lamellar Excision with Autolamellar Dissection for Pellucid Marginal Corneal Degeneration