Open AccessSupra-descemet′s fluid drainage with simultaneous air injection: An alternative treatment for Descemet′s membrane detachment
Author(s) -
Alireza Ghaffariyeh,
Nazafarin Honarpisheh,
Tooraj Chamacham
Publication year - 2011
Publication title -
middle east african journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.357
H-Index - 25
eISSN - 0975-1599
pISSN - 0974-9233
DOI - 10.4103/0974-9233.80712
Subject(s) - medicine , secondary air injection , fibrous joint , descemet's membrane , descemet membrane , ophthalmology , surgery , drainage , cornea , ecology , biology , engineering , waste management
In this report, we present an alternative technique to manage Descemet's membrane detachment (DMD). We call the technique supra-Descemet's fluid drainage with intracameral air injection. Under topical anesthesia, we injected air through the stab incision to fill 2/3 of the anterior chamber. Then we inserted the tip of a curved 10/0 needle through the corneal surface (entry angle at 45 degrees) into the supra-Descemet's area 3 times to drain this fluid. In our method, we neither injected expanding gas or viscoelastic nor used a suture. Consequently, there was little chance for suture-induced astigmatism or increased intraocular pressure. This technique may be considered a relatively safe and simple surgical method for the management of postoperative DMD.