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Optical coherence tomography-guided intracameral air injection for treatment of extensive Descemet's membrane detachment
  1. Yusen Huang,
  2. Jie Lan,
  3. Xinjie Zang,
  4. Yanwei Huan,
  5. Lixin Xie
  1. Shandong Eye Institute, Shandong Academy of Medical Sciences, Qingdao, China
  1. Correspondence to Dr Lixin Xie, Shandong Eye Institute, 5 Yanerdao Road, Qingdao 266071, P.R. China; lixin_xie{at}yahoo.com

http://dx.doi.org/10.1136/bjophthalmol-2012-301914

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    Extensive Descemet's membrane detachment (DMD) is a rare but potentially serious complication of cataract surgery.1 Sometimes, the diagnosis may be difficult because corneal oedema can obscure visualisation of the Descemet's membrane.2 If a larger or more progressive detachment results in corneal opacification and is responsible for loss of vision, many doctors have favoured early surgical intervention.3

    In this report, we describe a method of anterior segment optical coherence tomography (OCT)-guided aqueous fluid drainage and intracameral air injection for treatment of DMD in three patients.

    Case reports

    Three patients, who had cataract extraction with intra-ocular lens implantation, were referred to us from three other hospitals. Case 1 (a 70-year-old man) had received manual uneventful small incision cataract surgery 15 days earlier. Case 2 (a 64–year-old man) had clear corneal phacoemulsification for treatment of acute primary closed angle glaucoma combined with intumescent cataract. The surgeon realised the occurrence of DMD at the first day after surgery and intracameral air was injected partially filling the anterior chamber. On the fourth postoperative day, corneal oedema became more generalised. Case 3 (a 71-year-old man) had clear corneal phacoemulsification …

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    Footnotes

    • Contributors YH contributed to the analysis, interpretation of data and drafting the article. JL, XZ, and YH contributed to the acquisition of data and revising the article. LX made substantial contributions to the conception and design, analysis and interpretation of data, and revising the article. All of the authors approved the final version of the manuscript for publication.

    • Funding This work was supported by grants from the National 11th Five-Year Science and Technology Supporting Projects (2006BAI02B04, the Ministry of Science and Technology of the People's Republic of China) and the National Natural Science Foundation of China (30600698).

    • Competing interests None.

    • Patient consent Obtained.

    • Ethics approval Ethics approval was received from the Ethics Committee of Shandong Eye Institute.

    • Provenance and peer review Not commissioned; externally peer reviewed.