Descemet’s membrane detachment after cataract extraction surgery

Descemet’s membrane detachment (DMD) is a rare but potentially serious complication of intraocular surgery, most commonly cataract extraction. Many predisposing factors of DMD have been postulated; however, none have proved to be significant. Most DMDs are surgically induced; however, the occurrence...

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Bibliographic Details
Published in:International ophthalmology 2010-08, Vol.30 (4), p.391-396
Main Author: Al-Mezaine, Hani S.
Format: Article
Language:English
Subjects:
Cataract Extraction - adverse effects
Corneal Diseases - diagnosis
Corneal Diseases - epidemiology
Corneal Diseases - etiology
Corneal Diseases - therapy
Corneal Transplantation
Descemet Membrane
Humans
Incidence
Medicine
Medicine & Public Health
Ophthalmology
Phacoemulsification - adverse effects
Phacoemulsification - methods
Sutures
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Summary:Descemet’s membrane detachment (DMD) is a rare but potentially serious complication of intraocular surgery, most commonly cataract extraction. Many predisposing factors of DMD have been postulated; however, none have proved to be significant. Most DMDs are surgically induced; however, the occurrence of this entity bilaterally, during or after otherwise uneventful cataract extraction surgery, might be related to an inherent abnormal adhesion between the stroma and Descemet’s membrane or pre-existing endothelial abnormalities. Early recognition and proper management are important to preserve the vision and avoid permanent corneal damage. Although a small, localized detachment at the wound area tends to heal by spontaneous re-attachment, a larger or more progressive detachment requires surgical intervention because the prognosis of spontaneous re-attachment is poor.
ISSN:0165-5701
1573-2630
DOI:10.1007/s10792-010-9367-y