Unusually delayed presentation of persistent Descemet’s membrane tear and detachment after cataract surgery

Unusually delayed presentation of persistent Descemet’s membrane tear and detachment after cataract surgery

Melina I Morkin,1,2 Rehan M Hussain,2 Ryan C Young,2 Tracy Ravin,2 Sander R Dubovy,2 Eduardo C Alfonso2 1Department of Ophthalmology, Shiley Eye Center, University of California – San Diego, San Diego, CA, 2Department of Ophthalmology, Bascom Palmer Eye Institute, Miller School...

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Autores principales: Morkin MI, Hussain RM, Young RC, Ravin T, Dubovy SR, Alfonso EC
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2014
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Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/296940330f9d431f85dc931bcab27add
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spelling oai:doaj.org-article:296940330f9d431f85dc931bcab27add2021-12-02T01:24:18ZUnusually delayed presentation of persistent Descemet’s membrane tear and detachment after cataract surgery1177-5483https://doaj.org/article/296940330f9d431f85dc931bcab27add2014-08-01T00:00:00Zhttp://www.dovepress.com/unusually-delayed-presentation-of-persistent-descemetrsquos-membrane-t-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483 Melina I Morkin,1,2 Rehan M Hussain,2 Ryan C Young,2 Tracy Ravin,2 Sander R Dubovy,2 Eduardo C Alfonso2 1Department of Ophthalmology, Shiley Eye Center, University of California – San Diego, San Diego, CA, 2Department of Ophthalmology, Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, FL, USA Abstract: A 51-year-old male who had undergone phacoemulsification in his left eye 11 months prior presented with complaint of sudden onset of blurred vision in the same eye. Review of his clinical course, slit-lamp exam, pachymetry, and specular endothelial microscopy led to the diagnosis of acute hydrops caused by Descemet’s membrane dehiscence at the site of the incision. He was initially managed with medical treatment and observation. In the subsequent months of follow-up, the corneal edema and the patient’s visual acuity did not improve. Intracameral gas injection was performed 7 months after presentation, but because of persistent corneal edema and nonattached Descemet’s membrane, penetrating keratoplasty was performed. Histopathologic examination confirmed the diagnosis. The patient has had a clear corneal graft since then. Although Descemet’s membrane detachment is a rather common complication after intraocular surgery, its unusually delayed presentation can also occur, and should not be confused with pseudophakic bullous keratopathy. Many mechanisms have been studied for the development of early tears and detachments after cataract surgery, but little is known about late presentations. The authors explore possible causes, and highlight the importance of instructing patients to avoid eye rubbing and any other type of trauma to the cornea after intraocular surgery. Keywords: Descemet’s membrane tear, detachment, cataract surgery, phacoemulsificationMorkin MIHussain RMYoung RCRavin TDubovy SRAlfonso ECDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 1629-1632 (2014)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Morkin MI
Hussain RM
Young RC
Ravin T
Dubovy SR
Alfonso EC
Unusually delayed presentation of persistent Descemet’s membrane tear and detachment after cataract surgery
description Melina I Morkin,1,2 Rehan M Hussain,2 Ryan C Young,2 Tracy Ravin,2 Sander R Dubovy,2 Eduardo C Alfonso2 1Department of Ophthalmology, Shiley Eye Center, University of California – San Diego, San Diego, CA, 2Department of Ophthalmology, Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, FL, USA Abstract: A 51-year-old male who had undergone phacoemulsification in his left eye 11 months prior presented with complaint of sudden onset of blurred vision in the same eye. Review of his clinical course, slit-lamp exam, pachymetry, and specular endothelial microscopy led to the diagnosis of acute hydrops caused by Descemet’s membrane dehiscence at the site of the incision. He was initially managed with medical treatment and observation. In the subsequent months of follow-up, the corneal edema and the patient’s visual acuity did not improve. Intracameral gas injection was performed 7 months after presentation, but because of persistent corneal edema and nonattached Descemet’s membrane, penetrating keratoplasty was performed. Histopathologic examination confirmed the diagnosis. The patient has had a clear corneal graft since then. Although Descemet’s membrane detachment is a rather common complication after intraocular surgery, its unusually delayed presentation can also occur, and should not be confused with pseudophakic bullous keratopathy. Many mechanisms have been studied for the development of early tears and detachments after cataract surgery, but little is known about late presentations. The authors explore possible causes, and highlight the importance of instructing patients to avoid eye rubbing and any other type of trauma to the cornea after intraocular surgery. Keywords: Descemet’s membrane tear, detachment, cataract surgery, phacoemulsification
format article
author Morkin MI
Hussain RM
Young RC
Ravin T
Dubovy SR
Alfonso EC
author_facet Morkin MI
Hussain RM
Young RC
Ravin T
Dubovy SR
Alfonso EC
author_sort Morkin MI
title Unusually delayed presentation of persistent Descemet’s membrane tear and detachment after cataract surgery
title_short Unusually delayed presentation of persistent Descemet’s membrane tear and detachment after cataract surgery
title_full Unusually delayed presentation of persistent Descemet’s membrane tear and detachment after cataract surgery
title_fullStr Unusually delayed presentation of persistent Descemet’s membrane tear and detachment after cataract surgery
title_full_unstemmed Unusually delayed presentation of persistent Descemet’s membrane tear and detachment after cataract surgery
title_sort unusually delayed presentation of persistent descemet’s membrane tear and detachment after cataract surgery
publisher Dove Medical Press
publishDate 2014
url https://doaj.org/article/296940330f9d431f85dc931bcab27add
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