Seminars in ophthalmology · 2012
Treatment of inferior Descemet membrane detachment secondary to cataract surgery with air injection and supine head position.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Kymionis George D, Kontadakis Georgios A, Plaka Argyro D, Tsilimbaris Miltiadis K
Аннотация
PURPOSE: To describe a case of a patient with inferior Descemet membrane detachment that resolved after injection of small air bubble and supine positioning.
METHODS: A patient presented two weeks after cataract surgery with inferior persistent corneal edema. A Descemet membrane detachment involving the inferior cornea was revealed. Injection of small air bubble was performed and the patient was advised to stay in a supine position for the next two hours and then as much as reasonably possible to allow the air bubble to press the Descemet to the posterior corneal stroma.
RESULTS: Five days after injection, the Descemet membrane was reattached to the corneal stroma and the cornea became clear without any evidence of edema. One month post-air injection the cornea remained clear and the Descement membrane attached.
CONCLUSIONS: Air injection with supine position was efficient for the resolution of inferior partial Descemet detachment after cataract surgery. The edema resolved without any further intervention.
METHODS: A patient presented two weeks after cataract surgery with inferior persistent corneal edema. A Descemet membrane detachment involving the inferior cornea was revealed. Injection of small air bubble was performed and the patient was advised to stay in a supine position for the next two hours and then as much as reasonably possible to allow the air bubble to press the Descemet to the posterior corneal stroma.
RESULTS: Five days after injection, the Descemet membrane was reattached to the corneal stroma and the cornea became clear without any evidence of edema. One month post-air injection the cornea remained clear and the Descement membrane attached.
CONCLUSIONS: Air injection with supine position was efficient for the resolution of inferior partial Descemet detachment after cataract surgery. The edema resolved without any further intervention.