A case of Descemet’s membrane detachments and tears during phacoemulsification

Abstract

Descemet’s membrane detachment is an important reason for corneal endothelial decompensation after intraocular surgery. During cataract surgery, it is an unusual complication. We report a case of Descemet’s membrane detachment in which approximately 60% of Descemet’s membrane (DM) involving approximately the upper two-thirds of the cornea was torn out during a routine phacoemulsification. It caused diffuse corneal edema and blurred vision in the 2 months following the surgery. Topical prednisolone acetate (1%) and sodium chloride (5%) had been used for treatment, with slow improvement in the patient’s symptoms and vision. Interestingly, the cornea regained clarity 2 months after surgery without further surgical treatment.

Keywords:

• Descemet’s membrane detachment
• phacoemulsification
• corneal endothelium

Disclosure

The authors report no conflicts of interest in this work.