Premium
Late‐onset persistent Descemet's membrane detachment following uncomplicated clear corneal incision cataract surgery
Author(s) -
Stewart Christopher M,
Li Fiona,
McAlister James C
Publication year - 2011
Publication title -
clinical and experimental ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.3
H-Index - 74
eISSN - 1442-9071
pISSN - 1442-6404
DOI - 10.1111/j.1442-9071.2010.02425.x
Subject(s) - medicine , descemet's membrane , surgery , tamponade , cataract surgery , ophthalmology , cornea
A bstract We report the case of a 76‐year‐old man who developed a late‐onset Descemet's membrane detachment (DMD) 5 months after uncomplicated cataract surgery. Despite two air tamponade procedures that initially appeared successful, the DMD continued to return. After careful examination it was found that a surgical entry wound may have been scarred open (fish‐mouthing), which continually promoted Descemet's membrane to detach. Excision of the abnormal scar led to an almost complete resolution of the DMD. To our knowledge, this is the first report of a pathological (fish‐mouthing) entry wound causing a persistent, late DMD. We discuss the reasons why the management of late DMDs requires careful consideration.