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Outcomes of Descemetopexy with Isoexpansile Perfluoropropane after Cataract Surgery

PURPOSE: To report the indications, anatomical outcomes, functional outcomes and limitations of descemetopexy with intracameral injection of isoexpansile perfluoropropane (14% C3F8) in eyes with Descemet's membrane (DM) detachment after cataract surgery. METHODS: This retrospective non-comparat...

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Autores principales: Garg, Jyoti, Mathur, Umang, Acharya, Manisha Chabhra, Chauhan, Lokesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4926564/
https://www.ncbi.nlm.nih.gov/pubmed/27413497
http://dx.doi.org/10.4103/2008-322X.183932
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author Garg, Jyoti
Mathur, Umang
Acharya, Manisha Chabhra
Chauhan, Lokesh
author_facet Garg, Jyoti
Mathur, Umang
Acharya, Manisha Chabhra
Chauhan, Lokesh
author_sort Garg, Jyoti
collection PubMed
description PURPOSE: To report the indications, anatomical outcomes, functional outcomes and limitations of descemetopexy with intracameral injection of isoexpansile perfluoropropane (14% C3F8) in eyes with Descemet's membrane (DM) detachment after cataract surgery. METHODS: This retrospective non-comparative interventional case series included 67 eyes of 67 patients who underwent descemetopexy at a tertiary eye hospital. The procedure consisted of descemet's membrane reattachment by injecting isoexpansile perfluoropropane (14% C3F8)intracamerally. Outcome measures were reattachment of DM, improvement in visual acuity, resolution of corneal edema, causes for failure of DM reattachment and complications. RESULTS: Sixty-seven eyes of 74 patients were analyzed. Phacoemulsification (56.71%) had the highest DM detachment as compared to manual SICS in 19 (28.36%) and ECCE in 10 (14.93%) eyes. Descemetopexy with 14% C3F8 resulted in anatomical reattachment of DM in 71.64% and functional improvement in visual acuity in 74.63% of treated eyes. The location and the extent of DM detachment did not influence DM reattachment. Complete reattachment of DM occurred in all 26 eyes (100%) with planar type detachments, whereas with non-planar type detachments only 22 eyes (53.7%) achieved complete reattachment. CONCLUSION: Descemetopexy with isoexpansile perfluoropropane offers good surgical outcomes regarding visual acuity and resolution of corneal edema.
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spelling pubmed-49265642016-07-13 Outcomes of Descemetopexy with Isoexpansile Perfluoropropane after Cataract Surgery Garg, Jyoti Mathur, Umang Acharya, Manisha Chabhra Chauhan, Lokesh J Ophthalmic Vis Res Original Article PURPOSE: To report the indications, anatomical outcomes, functional outcomes and limitations of descemetopexy with intracameral injection of isoexpansile perfluoropropane (14% C3F8) in eyes with Descemet's membrane (DM) detachment after cataract surgery. METHODS: This retrospective non-comparative interventional case series included 67 eyes of 67 patients who underwent descemetopexy at a tertiary eye hospital. The procedure consisted of descemet's membrane reattachment by injecting isoexpansile perfluoropropane (14% C3F8)intracamerally. Outcome measures were reattachment of DM, improvement in visual acuity, resolution of corneal edema, causes for failure of DM reattachment and complications. RESULTS: Sixty-seven eyes of 74 patients were analyzed. Phacoemulsification (56.71%) had the highest DM detachment as compared to manual SICS in 19 (28.36%) and ECCE in 10 (14.93%) eyes. Descemetopexy with 14% C3F8 resulted in anatomical reattachment of DM in 71.64% and functional improvement in visual acuity in 74.63% of treated eyes. The location and the extent of DM detachment did not influence DM reattachment. Complete reattachment of DM occurred in all 26 eyes (100%) with planar type detachments, whereas with non-planar type detachments only 22 eyes (53.7%) achieved complete reattachment. CONCLUSION: Descemetopexy with isoexpansile perfluoropropane offers good surgical outcomes regarding visual acuity and resolution of corneal edema. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4926564/ /pubmed/27413497 http://dx.doi.org/10.4103/2008-322X.183932 Text en Copyright: © Journal of Ophthalmic and Vision Research http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Garg, Jyoti
Mathur, Umang
Acharya, Manisha Chabhra
Chauhan, Lokesh
Outcomes of Descemetopexy with Isoexpansile Perfluoropropane after Cataract Surgery
title Outcomes of Descemetopexy with Isoexpansile Perfluoropropane after Cataract Surgery
title_full Outcomes of Descemetopexy with Isoexpansile Perfluoropropane after Cataract Surgery
title_fullStr Outcomes of Descemetopexy with Isoexpansile Perfluoropropane after Cataract Surgery
title_full_unstemmed Outcomes of Descemetopexy with Isoexpansile Perfluoropropane after Cataract Surgery
title_short Outcomes of Descemetopexy with Isoexpansile Perfluoropropane after Cataract Surgery
title_sort outcomes of descemetopexy with isoexpansile perfluoropropane after cataract surgery
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4926564/
https://www.ncbi.nlm.nih.gov/pubmed/27413497
http://dx.doi.org/10.4103/2008-322X.183932
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