Management of Descemet’s Membrane Detachment by Intra Cameral Air Injection.
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Date
2016-11
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Abstract
Background: Descemet’s membrane detachment (DMD) is an uncommon but serious complication of intraocular surgery.
It requires prompt intervention to prevent corneal decompensation. Intracameral injection of air is the most commonly
practiced and most successful modality of management in such circumstances. Aim and Objective: To analyze the
possible causes of Descemet’s membrane detachment (DMD), evaluate the efficacy of intracameral air injection in its
management, analyze when to do other interventions & to evaluate the outcome of patients after successful management.
Methods: After Ethical committee approval, clinical data of 50 eyes of 50 patients during the period April 2014 to April
2016, who developed DM detachment after cataract surgery were noted. Study area: - IGIMS, Patna, Bihar, India. Study
population: - 50 eyes of 50 post cataract surgery patients developing intra-operative DMD in the period of April 2014 to
April 2016. Results: Patients were within the age group 54 to 82 years, mean was 65.38 ± 7.11. Sex distribution was 24
male and 26 female patients. Majority of the patients (n=37, 74%), had severe corneal edema. 8% had mild and 18% had
moderate corneal edema. Descemet’s membrane detachment as noted from the ASOCT was, Range 10% to 95%, Mean
46.20, SD 24.065. Only air was sufficient to re-attach DMD ranged from 10% to 55%, mean = 36.50 and SD = 14.815.
Visual acuity of patients on Post-Op (Day 1) versus Post-Op (1 week), c2 = 22.1 and P = 0.00019144, which was a
significant improvement. Conclusion: Intra Cameral injection of air is demonstrated as a safe and efficacious option for the
repair of Descemet's membrane detachment. Use of Isoexpansile 14% C3F8 is an effective and promising alternative for
cases not resolving with repeated intra cameral air injection.
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Keywords
Intracameral air, Descemet’s membrane, Detachment, Prospective study
Citation
Kumar Himanshu, Ali M S, Mishra Deepak. Management of Descemet’s Membrane Detachment by Intra Cameral Air Injection. Annals of International Medical and Dental Research. 2016 Nov-Dec; 2(6): 1-4.