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Spontaneous attachment of complex Descemet’s membrane detachment following multiple failed interventions
  1. Shikha Gupta,
  2. Karthikeyan Mahalingam and
  3. Tushar Agarwal
  1. Department of Ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India
  1. Correspondence to Dr Shikha Gupta; shikhagupta{at}aiims.edu

Abstract

We describe a case with complex Descemet membrane detachment (DMD) which persisted despite initial two failed surgical attempts to appose the ocular tissues. However, over time, tissue alignment was obtained spontaneously. A 60-year-old woman, operated trabeculectomy, had a total DMD intraoperatively during a complicated cataract surgery. Initial attempt to DM repositioning with intracameral air injection failed. Anterior Segment Optical Coherence Tomography (ASOCT) showed detachment of both DM and pre-Descemet’s layer (PDL). After consultation with a corneal surgeon, patient was again attempted for Intra-operative Optical Coherence Tomography (iOCT)-guided settlement of DMD with intracameral air which again failed. So, the patient was registered for lamellar corneal transplant, but at 3 months follow-up, DM had spontaneously attached, confirmed on ASOCT. This case shows for the first time that even complex DMDs involving PDL, can spontaneously appose despite failed surgical interventions.

  • anterior chamber
  • iris
  • glaucoma

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Footnotes

  • Contributors SG was involved in data acquisition, manuscript drafting, preparation, intellectual input and approved the final manuscript. KM was involved in data acquisition, manuscript drafting, preparation and approved the final manuscript. TA was involved in patient management, intellectual input and approved the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

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

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