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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2016
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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. |
format | Online Article Text |
id | pubmed-4926564 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
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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