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Descemet’s Membrane Detachment: An Intraoperative Complication in Cataract Surgery with Phacoemulsification

Descemet’s membrane detachment (DMD) is a complication fundamentally associated with cataract surgery, the subclinical presentation being higher than expected. There are many varied treatments, from simple observation to penetrating keratoplasty. We present a case report of a 78-year-old male patien...

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Autores principales: González, Ana Luisa, Silva, Fermín, Barrientos, Robinson, Paredes, Fabricio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7718970/
https://www.ncbi.nlm.nih.gov/pubmed/33293873
http://dx.doi.org/10.2147/IMCRJ.S283770
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author González, Ana Luisa
Silva, Fermín
Barrientos, Robinson
Paredes, Fabricio
author_facet González, Ana Luisa
Silva, Fermín
Barrientos, Robinson
Paredes, Fabricio
author_sort González, Ana Luisa
collection PubMed
description Descemet’s membrane detachment (DMD) is a complication fundamentally associated with cataract surgery, the subclinical presentation being higher than expected. There are many varied treatments, from simple observation to penetrating keratoplasty. We present a case report of a 78-year-old male patient, without comorbidities, who underwent cataract surgery with phacoemulsification plus intraocular lens implantation in the capsular bag of the left eye. During the intraoperative procedure, he presented a DMD (height of 350 um and length of 3 mm in Zone 1 according to the HELP algorithm), managed with adaptive viscoelastic under the soft-shell technique in the same operative act, injection of iso-expansile SF6 (20%) intracameral plus postural positioning for 2 hours carried out 48 hours after surgery plus intensive topical treatment with hypertonic sodium chloride and steroidal anti-inflammatory drugs. At 72 hours after the operation of the application of the gas bubble, he presented with a transparent cornea and a best-corrected visual acuity of 20/80, which finally for his ophthalmological control at 8 weeks presented definitive resolution of the case in the AS-OCT and with a BCVA of 20/30.
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spelling pubmed-77189702020-12-07 Descemet’s Membrane Detachment: An Intraoperative Complication in Cataract Surgery with Phacoemulsification González, Ana Luisa Silva, Fermín Barrientos, Robinson Paredes, Fabricio Int Med Case Rep J Case Report Descemet’s membrane detachment (DMD) is a complication fundamentally associated with cataract surgery, the subclinical presentation being higher than expected. There are many varied treatments, from simple observation to penetrating keratoplasty. We present a case report of a 78-year-old male patient, without comorbidities, who underwent cataract surgery with phacoemulsification plus intraocular lens implantation in the capsular bag of the left eye. During the intraoperative procedure, he presented a DMD (height of 350 um and length of 3 mm in Zone 1 according to the HELP algorithm), managed with adaptive viscoelastic under the soft-shell technique in the same operative act, injection of iso-expansile SF6 (20%) intracameral plus postural positioning for 2 hours carried out 48 hours after surgery plus intensive topical treatment with hypertonic sodium chloride and steroidal anti-inflammatory drugs. At 72 hours after the operation of the application of the gas bubble, he presented with a transparent cornea and a best-corrected visual acuity of 20/80, which finally for his ophthalmological control at 8 weeks presented definitive resolution of the case in the AS-OCT and with a BCVA of 20/30. Dove 2020-12-01 /pmc/articles/PMC7718970/ /pubmed/33293873 http://dx.doi.org/10.2147/IMCRJ.S283770 Text en © 2020 González et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Case Report
González, Ana Luisa
Silva, Fermín
Barrientos, Robinson
Paredes, Fabricio
Descemet’s Membrane Detachment: An Intraoperative Complication in Cataract Surgery with Phacoemulsification
title Descemet’s Membrane Detachment: An Intraoperative Complication in Cataract Surgery with Phacoemulsification
title_full Descemet’s Membrane Detachment: An Intraoperative Complication in Cataract Surgery with Phacoemulsification
title_fullStr Descemet’s Membrane Detachment: An Intraoperative Complication in Cataract Surgery with Phacoemulsification
title_full_unstemmed Descemet’s Membrane Detachment: An Intraoperative Complication in Cataract Surgery with Phacoemulsification
title_short Descemet’s Membrane Detachment: An Intraoperative Complication in Cataract Surgery with Phacoemulsification
title_sort descemet’s membrane detachment: an intraoperative complication in cataract surgery with phacoemulsification
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7718970/
https://www.ncbi.nlm.nih.gov/pubmed/33293873
http://dx.doi.org/10.2147/IMCRJ.S283770
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