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Successful Treatment of Post-Phacoemulsification Descemet’s Membrane Detachment Assessed by Anterior Segment Optical Coherence Tomography: A Case Report
Case Reports in Ophthalmology Pub Date : 2021-07-05 , DOI: 10.1159/000517351
Ayaka Doi 1 , Tadamichi Akagi 1, 2 , Akitaka Tsujikawa 1
Affiliation  

Descemet’s membrane detachment (DMD) is a rare but serious complication of phacoemulsification surgery. A small DMD may resolve spontaneously, but extensive DMD often requires intracameral injection of air, nonexpansile gases, or expansile gases. A 92-year-old man who underwent phacoemulsification and aspiration with intraocular lens placement in the right eye had significantly reduced visual acuity, with a hazy cornea after surgery. Anterior segment optical coherence tomography (AS-OCT) examination revealed extensive DMD throughout the cornea. He was treated with intracameral injection of 20% sulfur hexafluoride. As a result, the Descemet membrane was successfully reattached, and the corneal edema resolved. AS-OCT was helpful in confirming the presence and extent of DMD, provided useful information to determine the appropriate treatment, and was useful for monitoring DMD.
Case Rep Ophthalmol 2021;12:611–615


中文翻译:

前段光学相干断层扫描评估超声乳化后后塞米特膜脱离的成功治疗:病例报告

Descemet 膜脱离 (DMD) 是一种罕见但严重的超声乳化手术并发症。小的 DMD 可能会自发消退,但广泛的 DMD 通常需要前房内注射空气、非膨胀性气体或膨胀性气体。一名 92 岁男性在右眼植入人工晶状体的情况下接受了超声乳化术和抽吸术,术后视力明显下降,角膜混浊。前段光学相干断层扫描 (AS-OCT) 检查显示整个角膜有广泛的 DMD。他接受了前房内注射 20% 六氟化硫的治疗。结果,Descemet 膜重新贴附成功,角膜水肿消退。AS-OCT 有助于确认 DMD 的存在和程度,提供有用的信息来确定适当的治疗方法,
Case Rep Ophthalmol 2021;12:611–615
更新日期:2021-07-05
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