Spontaneous attachment of complex Descemet's membrane detachment following multiple failed interventions
| Autor: | Karthikeyan Mahalingam, Shikha Gupta, Tushar Agarwal |
|---|---|
| Rok vydání: | 2023 |
| Předmět: |
medicine.medical_specialty
genetic structures Descemet membrane medicine.medical_treatment Glaucoma Corneal Diseases Optical coherence tomography Ophthalmology medicine Trabeculectomy Humans Descemet Membrane Complicated cataract surgery Phacoemulsification medicine.diagnostic_test business.industry Corneal Transplant General Medicine Middle Aged medicine.disease eye diseases Descemet's membrane medicine.anatomical_structure Female sense organs business Surgical interventions Tomography Optical Coherence |
| Zdroj: | BMJ case reports. 14(8) |
| ISSN: | 1757-790X |
| Popis: | We describe a case with complex Descemet membrane detachment (DMD) which persisted despite initial two failed surgical attempts to appose the ocular tissues. However, over time, tissue alignment was obtained spontaneously. A 60-year-old woman, operated trabeculectomy, had a total DMD intraoperatively during a complicated cataract surgery. Initial attempt to DM repositioning with intracameral air injection failed. Anterior Segment Optical Coherence Tomography (ASOCT) showed detachment of both DM and pre-Descemet’s layer (PDL). After consultation with a corneal surgeon, patient was again attempted for Intra-operative Optical Coherence Tomography (iOCT)-guided settlement of DMD with intracameral air which again failed. So, the patient was registered for lamellar corneal transplant, but at 3 months follow-up, DM had spontaneously attached, confirmed on ASOCT. This case shows for the first time that even complex DMDs involving PDL, can spontaneously appose despite failed surgical interventions. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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