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Double bubble pneumo-descemetopexy for the management of Descemet membrane detachment: An innovative technique.
- Source :
-
Indian Journal of Ophthalmology . May2023, Vol. 71 Issue 5, p2234-2236. 3p. - Publication Year :
- 2023
-
Abstract
- A 62-year-old woman was referred with poor vision following manual small incision cataract surgery. On presentation, the uncorrected distance visual acuity in the involved eye was 3/60, whereas slit-lamp examination revealed a central corneal edema with the peripheral cornea relatively clear. Direct focal examination with a narrow slit upper border and lower margin of detached rolled up Descemet's membrane (DM) could be visualized. We performed a novel surgical approach, "double-bubble pneumo-descemetopexy." The surgical procedure included unrolling of DM with "small air bubble" and descemetopexy with "big bubble." No postoperative complications were observed, and best corrected distance visual acuity improved to 6/9 at 6 weeks. The patient had a clear cornea and maintained BCVA 6/9 during 18 months at follow-up. Double-bubble pneumo-descemetopexy, a more controlled technique, provides a satisfactory anatomical and visual outcome in DMD without the need for endothelial keratoplasty (Descemet's stripping endothelial keratoplasty or DMEK) or penetrating keratoplasty. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 03014738
- Volume :
- 71
- Issue :
- 5
- Database :
- Academic Search Index
- Journal :
- Indian Journal of Ophthalmology
- Publication Type :
- Academic Journal
- Accession number :
- 171906615
- Full Text :
- https://doi.org/10.4103/ijo.IJO_1623_22