Late-onset persistent Descemet's membrane detachment following uncomplicated clear corneal incision cataract surgery
- 22 February 2011
- journal article
- case report
- Published by Wiley in Clinical & Experimental Ophthalmology
- Vol. 39 (2), 171-174
- https://doi.org/10.1111/j.1442-9071.2010.02425.x
Abstract
We report the case of a 76-year-old man who developed a late-onset Descemet's membrane detachment (DMD) 5 months after uncomplicated cataract surgery. Despite two air tamponade procedures that initially appeared successful, the DMD continued to return. After careful examination it was found that a surgical entry wound may have been scarred open (fish-mouthing), which continually promoted Descemet's membrane to detach. Excision of the abnormal scar led to an almost complete resolution of the DMD. To our knowledge, this is the first report of a pathological (fish-mouthing) entry wound causing a persistent, late DMD. We discuss the reasons why the management of late DMDs requires careful consideration.Keywords
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