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  • Title: Outcomes of air descemetopexy for Descemet membrane detachment after cataract surgery.
    Author: Chaurasia S, Ramappa M, Garg P.
    Journal: J Cataract Refract Surg; 2012 Jul; 38(7):1134-9. PubMed ID: 22727283.
    Abstract:
    PURPOSE: To analyze the outcomes of post-cataract surgery descemetopexy for Descemet membrane detachment using intracameral air injection. SETTING: Cornea Department, LV Prasad Eye Institute, Hyderabad, India. DESIGN: Interventional case series. METHODS: The clinical data of patients who had descemetopexy from August 2010 to February 2011 for Descemet membrane detachment after cataract surgery using intracameral (100%) air injection were reviewed after institutional review board and ethics committee approval was obtained. RESULTS: Of the 14 patients, 9 had manual small-incision cataract surgery using the Blumenthal and Moisseiev technique, 4 had phacoemulsification, and 1 had combined phacoemulsification with trabeculectomy. The mean duration between cataract surgery and descemetopexy was 19.5 days (range 2 to 49 days). Successful reattachment of Descemet membrane and resolution of corneal edema occurred in all except 1 patient. Two patients had elevated intraocular pressure 1 day postoperatively due to appositional angle closure in 1 and pupillary block in the other. Of the 13 patients with successful Descemet membrane reattachment, the corrected distance visual acuity was 20/40 or better in 11 cases, 20/80 in 1 case, and 20/160 in 1 case. Three of the 13 patients had comorbidity factors affecting vision. CONCLUSION: Air descemetopexy was a safe option in the management of Descemet detachment after cataract surgery. FINANCIAL DISCLOSURE: No author has a financial or proprietary interest in any material or method mentioned.
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