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Descement’s membrane detachment diagnosis using a very high frequency ultrasound scanning system (Artemis 2, Ultralink LLC)
Author(s) -
STRATOS A,
KYMIONIS G,
BOUZOUKIS D,
KROKIDIS M,
TSILIMBARIS M,
PALLIKARIS IG
Publication year - 2009
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2009.317.x
Subject(s) - medicine , ultrasound , high frequency ultrasound , cannula , tamponade , ophthalmology , cataract surgery , descemet's membrane , surgery , cornea , radiology
Abstract Purpose To present a case report of Descement’s Membrane Detachment after cataract surgery diagnosed using a Very High Frequency ultrasound scanning system (Artemis 2, Ultralink LLC). Methods A 74‐ year‐old female was referred to our institute due to persistent corneal edema after cataract surgery. Slit lamp examination revealed severe total corneal edema (obscuring anterior chamber and iris). Using a very high frequency (VHF) ultrasound scanning system (Artemis 2, Ultralink LLC) Descement’s Membrane Detachment (DMD) was diagnosed. Results The patient was treated with anterior chamber air tamponade using a 27 gauge cannula attached to a syringe with a filter riled under topical anesthesia. Descement's membrane was successfully reattached and corneal edema resolved after two weeks. Conclusion This case report demonstrates that the VHF ultrasound scanning system (Artemis 2, Ultralink LLC) could be a useful instrument for the early recognition and possible management of DMD after cataract surgery, especially in patients in which diagnosis is difficult due to significant corneal clouding.