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Central and bullous Descemet membrane detachment during cataract wound hydration: an insightful complication in a post-DALK eye
  1. Amit Kumar Das,
  2. Arnav Panigrahi and
  3. Noopur Gupta
  1. Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Dr Noopur Gupta; noopurgupta{at}


A 54-year-old man, with history of undergoing deep anterior lamellar keratoplasty (DALK) 20 months ago, presented with mature senile cataract in the same eye. While undergoing phacoemulsification, a large, central Descemet membrane detachment (DMD) was noted, separating the donor cornea from the host predescemetic layer. No DM tears were noted. Stromal puncture was done at the graft host junction to reduce the extent of DMD. This was followed by a large intracameral air bubble insertion, which resulted in complete resolution of DMD on the first postoperative day. DMD during hydration of wound is a unique complication to be anticipated while doing cataract surgery in an operated DALK eye.

  • eye
  • healthcare improvement and patient safety
  • anterior chamber
  • transplantation
  • visual rehabilitation

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  • Contributors NG: Conception and design, acquisition of data or analysis and interpretation of data, revising the article for important intellectual content, final approval of the version published, agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved, responsible for the overall content as guarantor. The guarantor accepts full responsibility for the finished work and/or the conduct of the study, had access to the data, and controlled the decision to publish. AKD: Conception and design, acquisition of data or analysis and interpretation of data, drafting the article final approval of the version published. AP: Conception and design, acquisition of data or analysis and interpretation of data, drafting the article, final approval of the version published.

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  • Competing interests None declared.

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