Descemet's membrane detachment after cataract extraction surgery

被引：23
作者：
Al-Mezaine H.S. [1 ]
机构：
[1] Department of Ophthalmology, College of Medicine, King Saud University, Riyadh
来源：
International Ophthalmology | 2010年 / 30卷 / 4期
关键词：
Descemet's membrane detachment; Extracapsular cataract extraction; Phacoemulsification;
D O I：
10.1007/s10792-010-9367-y
中图分类号：
学科分类号：
摘要：
Descemet's membrane detachment (DMD) is a rare but potentially serious complication of intraocular surgery, most commonly cataract extraction. Many predisposing factors of DMD have been postulated; however, none have proved to be significant. Most DMDs are surgically induced; however, the occurrence of this entity bilaterally, during or after otherwise uneventful cataract extraction surgery, might be related to an inherent abnormal adhesion between the stroma and Descemet's membrane or pre-existing endothelial abnormalities. Early recognition and proper management are important to preserve the vision and avoid permanent corneal damage. Although a small, localized detachment at the wound area tends to heal by spontaneous reattachment, a larger or more progressive detachment requires surgical intervention because the prognosis of spontaneous re-attachment is poor. © Springer Science+Business Media B.V. 2010.
引用
收藏
页码：391 / 396
页数：5
相关论文
共 43 条
  • [21] Hoover D.L., Giangiacomo J., Benson R.L., Descemet's membrane detachment by sodium hyaluronate, Arch Ophthalmol, 103, pp. 805-808, (1985)
  • [22] Saeed M.U., Singh A.J., Morrell A.J., Sequential Descemet's membrane detachments and intraocular lens haze secondary to SF6 or C3F8, Eur J Ophthalmol, 16, pp. 758-760, (2006)
  • [23] Kansal S., Sugar J., Consecutive Descemet membrane detachment after successive phacoemulsification, Cornea, 20, pp. 670-671, (2001)
  • [24] Fang J.P., Amesur K.B., Baratz K.H., Preexisting endothelial abnormalities in bilateral postoperative Descemet membrane detachment, Arch Ophthalmol, 121, pp. 903-904, (2003)
  • [25] Gatzioufas Z., Schirra F., Low U., Walter S., Lang M., Seitz B., Spontaneous bilateral late-onset Descemet membrane detachment after successful cataract surgery, J Cataract Refract Surg, 35, pp. 778-781, (2009)
  • [26] Patel D.V., Phang K.L., Grupcheva C.N., Best S.J., McGhee C.N., Surgical detachment of Descemet's membrane and endothelium imaged over time by in vivo confocal microscopy, Clin Exp Ophthalmol, 32, pp. 539-542, (2004)
  • [27] Morinelli E.N., Najac R.D., Speaker M.G., Tello C., Liebmann J.M., Ritch R., Repair of Descemet's membrane detachment with the assistance of intraoperative ultrasound biomicroscopy, Am J Ophthalmol, 121, pp. 718-720, (1996)
  • [28] Winn B.J., Lin S.C., Hee M.R., Chiu C.S., Repair of Descemet membrane detachments with the assistance of anterior segment optical coherence tomography, Arch Ophthalmol, 126, pp. 730-732, (2008)
  • [29] Watson S.L., Abiad G., Coroneo M.T., Spontaneous resolution of corneal oedema following Descemet's detachment, Clin Exp Ophthalmol, 34, pp. 797-799, (2006)
  • [30] Wylegala E., Nowinska A., Usefulness of anterior segment optical coherence tomography in Descemet membrane detachment, Eur J Ophthalmol, 19, pp. 723-728, (2009)
12345