Descemet membrane detachment post- phacoemulsification
We report the case series of phacoemulsification-related Descemet membrane detachment (DMD) encountered at a tertiary hospital in Kuala Lumpur. Case 1 was an iatrogenic DMD which was detected intraoperatively and managed early with good outcome. Case 2 and case 3 described unusual presentation of...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Pusat Perubatan Universiti Kebangsaan Malaysia
2018
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| Online Access: | http://journalarticle.ukm.my/20212/1/19_ms0162_pdf_60142.pdf http://journalarticle.ukm.my/20212/ https://www.medicineandhealthukm.com/toc/13/1 |
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| Institution: | Universiti Kebangsaan Malaysia |
| Language: | English |
| Summary: | We report the case series of phacoemulsification-related Descemet membrane
detachment (DMD) encountered at a tertiary hospital in Kuala Lumpur. Case 1
was an iatrogenic DMD which was detected intraoperatively and managed early with good outcome. Case 2 and case 3 described unusual presentation of
DMD which was initially undiagnosed. This report highlights the use of anterior
segment optical coherence tomography (ASOCT) in detecting and confirming the
correct diagnosis for DMD. With the aid of an experienced corneal specialist, the
higher threshold for suspicious occurrence of DMD was confirmed using ASOCT.
Treatment was tailored accordingly, with successful clearance of corneal oedema
and visual recovery. This case series highlighted the importance of proper operative
documentation and high threshold for suspicion for DMD in focal corneal oedema
following an otherwise uneventful cataract surgery. It is concluded that ASOCT is
an excellent tool to confirm diagnosis of DMD and success of treatment. |
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