Abstract
The purpose of this study is to report the importance of ultrasound biomicroscopy (UBM) in the diagnosis of Descemet’s membrane detachment (DMD) and the efficacy of sulfur hexafluoride (SF6) gas in its management. DMD was identified by UBM in a 22-year-old woman with juvenile glaucoma who underwent deep sclerectomy surgery and developed severe corneal oedema postoperatively. SF6 gas 15% was injected into the anterior chamber. The procedure resulted in reattachment of Descemet’s membrane and a completely clear cornea. DMD can be easily overlooked or misdiagnosed after non-penetrating glaucoma surgery. UBM is helpful in diagnosis and management of DMD and descemetopexy with SF6 gas can give good results.
References
Mackool RJ, Holtz SJ (1977) Descemet membrane detachment. Arch Ophthalmol 95(3):459–463
Zusman NB, Waring GO III, Najarian LV, Wilson LA (1987) Sulfur hexafluoride gas in the repair of intractable Descemet’s membrane detachment. Am J Ophthalmol 104:660–662
Mulhern M, Barry P, Condon P (1996) A case of Descemet’s membrane detachment during phacoemulsification surgery. Br J Ophthalmol 80:185–186
Ravinet E, Tritten JJ, Mermoud A et al (2002) Descemet membrane detachment after non-penetrating filtering surgery. J Glaucoma 11(3):244–252
Kozobolis VP, Christodoulakis EV, Siganos CS et al (2001) Hemorrhagic Descemet’s membrane detachment as a complication of deep sclerectomy: a case report. J Glaucoma 10(6):49–500
Fujimoto H, Mizoguchi T, Kuroda S et al (2004) Intracorneal hematoma with Descemet membrane detachment after viscocanalostomy. Am J Ophthalmol 137(1):195–196
Palmiero PM, Aktas Z, Lee O, Tello C et al (2010) Bilateral Descemet membrane detachment after canaloplasty. J Cataract Refract Surg 36(3):508–511
Kim T, Hasan SA (2002) A new technique for repairing Descemet membrane detachments using intracameral gas injection. Arch Ophthalmol 120:181–183
Macsai MS, Gainer KM, Chisholm L (1998) Repair of Descemet’s membrane detachment with perfluoropropane. Cornea 17:129–134
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Ethical standards: The study was performed with informed consent and followed the guidelines required by the Institutional Review Board or Ethics Committee of the institution.
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Osman, E.A. The benefit of ultrasound biomicroscopy (UBM) in management of total Descemet’s membrane detachment after deep sclerectomy surgery. Int Ophthalmol 31, 345–348 (2011). https://doi.org/10.1007/s10792-011-9462-8
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DOI: https://doi.org/10.1007/s10792-011-9462-8