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Surgical Repair of Descemet’s Membrane Detachment

D. Pahor
B. Gračner

Puni tekst: engleski pdf 45 Kb

str. 13-16

preuzimanja: 1.251



The aim of the study was to demonstrate a successful repair of Descemet membrane
detachment (DMD). A 73-year-old woman with pseudoexfoliative glaucoma underwent
phacoelmulsification with flexible posterior chamber intraocular lens implantation. Because
of inadequate pupillary dilatation flexible iris retractors were used. Four days after
cataract surgery, a large DMD was recognized. One day later, the patient underwent
surgical repair. Three long full-thickness 10–0 nylon sutures were used to fixate DM to
the cornea. The next day, DM was completely attached and the cornea was clear. Final
best-corrected visual acuity was 0.9. Iris retractors may increase the risk of DMD because
the iris is more anterior to the cornea. Bimanual manipulation is recommended to
avoid accidental separation. No clinical case of DMD repair has been previously reported,
associated with flexible iris retractors and phacoemulsification. To achieve good
visual results in extensive DMD we recommend early surgical treatment.

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