Open AccessIntraoperative Descemet’s membrane detachment in a case of phacomorphic glaucoma
Author(s) -
Amar Pujari,
Deepa R Swamy,
Manthan Hasmukhbhai Chaniyara,
Namrata Sharma
Publication year - 2018
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2018-225593
Subject(s) - medicine , phacoemulsification , ophthalmology , glaucoma , cornea , intraocular pressure , visual acuity , intraocular lens , descemet's membrane , surgery , trabeculectomy
A 60-year-old female patient with phacomorphic glaucoma underwent initial medical management to control the intraocular pressure (IOP). After 48 hours, a stable IOP was achieved and subsequently the patient was planned for phacoemulsification followed by intraocular lens implantation. There was initial difficulty while reconstructing the corneal wounds; however, phacoemulsification and IOL implantation were uneventful but during viscoelastic removal, an inadvertent Descemet's membrane detachment involving the central cornea was noted. Postoperatively corneal oedema persisted till 1 week, following which there was a gradual improvement with topical antibiotics, steroids and hyperosmotic agents. At the end of 6 months, the best corrected visual acuity was 20/25 with a central corneal thickness of 580 µm without any need for additional endothelial replacement surgery.