Delayed-onset descemet membrane detachment after uneventful cataract surgery treated by corneal venting incision with air tamponade: a case report
Identifieur interne : 000244 ( Main/Curation ); précédent : 000243; suivant : 000245Delayed-onset descemet membrane detachment after uneventful cataract surgery treated by corneal venting incision with air tamponade: a case report
Auteurs : Harsimran Kaur Bhatia [Inde] ; Rakesh Gupta [Inde]Source :
- BMC Ophthalmology [ 1471-2415 ] ; 2016.
Abstract
Descemet membrane detachment (DMD) is a significant complication noted during or early after cataract surgery. Review of literature revealed a few cases of delayed-onset DMD with presentation ranging from weeks to months after cataract surgery but most of them were treated with pneumatic descemetopexy and a few ended in penetrating keratoplasty. We report this case, to highlight the usefulness of corneal venting incision with air tamponade in late-onset DMD cases not responding to pneumatic descemetopexy.
A retrospective case review of a 66 year old male who presented with diminution of vision in right eye 17 days after uneventful cataract surgery was done. Visual acuity in this eye was 20/200 at presentation. DMD was noted 3 days later (approximately 3 weeks post-operatively) and Anterior Segment Optical Coherence Tomography & Scheimpflug imaging were done in view of diffuse corneal edema. Pneumatic descemetopexy was attempted thrice (twice with SF6, once with air) over a week’s span with limited success at re-attaching the DM. Finally, corneal venting incision with air tamponade was done resulting in egress of supra-descemet’s fluid and DM appeared apposed to stroma. Bandage contact lens (BCL) was applied at the end of the procedure. DM was seen attached the next day. Corneal edema cleared completely in 1 week. Best corrected visual acuity (BCVA) at 6 weeks follow-up was 20/30.
Delayed-onset DMD should be considered as a differential diagnosis in cases with late-onset corneal edema post-cataract surgery. Anterior segment Optical Coherence Tomography (AS-OCT) and Scheimpflug Imaging are useful tools in cases with dense corneal edema. Corneal venting incision with air tamponade is an option in cases where methods like pneumatic descemetopexy fail.
Url:
DOI: 10.1186/s12886-016-0212-6
PubMed: 27044281
PubMed Central: 4820919
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: Pour aller vers cette notice dans l'étape Curation :000668
- to stream Pmc, to step Curation: Pour aller vers cette notice dans l'étape Curation :000668
- to stream Pmc, to step Checkpoint: Pour aller vers cette notice dans l'étape Curation :000136
- to stream Ncbi, to step Merge: Pour aller vers cette notice dans l'étape Curation :004135
- to stream Ncbi, to step Curation: Pour aller vers cette notice dans l'étape Curation :004135
- to stream Ncbi, to step Checkpoint: Pour aller vers cette notice dans l'étape Curation :004135
- to stream Main, to step Merge: Pour aller vers cette notice dans l'étape Curation :000244
Links to Exploration step
PMC:4820919Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Delayed-onset descemet membrane detachment after uneventful cataract surgery treated by corneal venting incision with air tamponade: a case report</title>
<author><name sortKey="Bhatia, Harsimran Kaur" sort="Bhatia, Harsimran Kaur" uniqKey="Bhatia H" first="Harsimran Kaur" last="Bhatia">Harsimran Kaur Bhatia</name>
<affiliation wicri:level="1"><nlm:aff id="Aff1">Shreya Eye Centre, D-163, Surajmal Vihar, Delhi, India</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Shreya Eye Centre, D-163, Surajmal Vihar, Delhi</wicri:regionArea>
<wicri:noRegion>Delhi</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Gupta, Rakesh" sort="Gupta, Rakesh" uniqKey="Gupta R" first="Rakesh" last="Gupta">Rakesh Gupta</name>
<affiliation wicri:level="1"><nlm:aff id="Aff1">Shreya Eye Centre, D-163, Surajmal Vihar, Delhi, India</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Shreya Eye Centre, D-163, Surajmal Vihar, Delhi</wicri:regionArea>
<wicri:noRegion>Delhi</wicri:noRegion>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">27044281</idno>
<idno type="pmc">4820919</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4820919</idno>
<idno type="RBID">PMC:4820919</idno>
<idno type="doi">10.1186/s12886-016-0212-6</idno>
<date when="2016">2016</date>
<idno type="wicri:Area/Pmc/Corpus">000668</idno>
<idno type="wicri:Area/Pmc/Curation">000668</idno>
<idno type="wicri:Area/Pmc/Checkpoint">000136</idno>
<idno type="wicri:Area/Ncbi/Merge">004135</idno>
<idno type="wicri:Area/Ncbi/Curation">004135</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">004135</idno>
<idno type="wicri:Area/Main/Merge">000244</idno>
<idno type="wicri:Area/Main/Curation">000244</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Delayed-onset descemet membrane detachment after uneventful cataract surgery treated by corneal venting incision with air tamponade: a case report</title>
<author><name sortKey="Bhatia, Harsimran Kaur" sort="Bhatia, Harsimran Kaur" uniqKey="Bhatia H" first="Harsimran Kaur" last="Bhatia">Harsimran Kaur Bhatia</name>
<affiliation wicri:level="1"><nlm:aff id="Aff1">Shreya Eye Centre, D-163, Surajmal Vihar, Delhi, India</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Shreya Eye Centre, D-163, Surajmal Vihar, Delhi</wicri:regionArea>
<wicri:noRegion>Delhi</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Gupta, Rakesh" sort="Gupta, Rakesh" uniqKey="Gupta R" first="Rakesh" last="Gupta">Rakesh Gupta</name>
<affiliation wicri:level="1"><nlm:aff id="Aff1">Shreya Eye Centre, D-163, Surajmal Vihar, Delhi, India</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Shreya Eye Centre, D-163, Surajmal Vihar, Delhi</wicri:regionArea>
<wicri:noRegion>Delhi</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j">BMC Ophthalmology</title>
<idno type="eISSN">1471-2415</idno>
<imprint><date when="2016">2016</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Descemet membrane detachment (DMD) is a significant complication noted during or early after cataract surgery. Review of literature revealed a few cases of delayed-onset DMD with presentation ranging from weeks to months after cataract surgery but most of them were treated with pneumatic descemetopexy and a few ended in penetrating keratoplasty. We report this case, to highlight the usefulness of corneal venting incision with air tamponade in late-onset DMD cases not responding to pneumatic descemetopexy.</p>
</sec>
<sec><title>Case presentation</title>
<p>A retrospective case review of a 66 year old male who presented with diminution of vision in right eye 17 days after uneventful cataract surgery was done. Visual acuity in this eye was 20/200 at presentation. DMD was noted 3 days later (approximately 3 weeks post-operatively) and Anterior Segment Optical Coherence Tomography & Scheimpflug imaging were done in view of diffuse corneal edema. Pneumatic descemetopexy was attempted thrice (twice with SF6, once with air) over a week’s span with limited success at re-attaching the DM. Finally, corneal venting incision with air tamponade was done resulting in egress of supra-descemet’s fluid and DM appeared apposed to stroma. Bandage contact lens (BCL) was applied at the end of the procedure. DM was seen attached the next day. Corneal edema cleared completely in 1 week. Best corrected visual acuity (BCVA) at 6 weeks follow-up was 20/30.</p>
</sec>
<sec><title>Conclusion</title>
<p>Delayed-onset DMD should be considered as a differential diagnosis in cases with late-onset corneal edema post-cataract surgery. Anterior segment Optical Coherence Tomography (AS-OCT) and Scheimpflug Imaging are useful tools in cases with dense corneal edema. Corneal venting incision with air tamponade is an option in cases where methods like pneumatic descemetopexy fail.</p>
</sec>
</div>
</front>
<back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Marcon, As" uniqKey="Marcon A">AS Marcon</name>
</author>
<author><name sortKey="Rapuano, Cj" uniqKey="Rapuano C">CJ Rapuano</name>
</author>
<author><name sortKey="Jones, Mr" uniqKey="Jones M">MR Jones</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Mahmood, Ma" uniqKey="Mahmood M">MA Mahmood</name>
</author>
<author><name sortKey="Teichmann, Kd" uniqKey="Teichmann K">KD Teichmann</name>
</author>
<author><name sortKey="Tomey, Kf" uniqKey="Tomey K">KF Tomey</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Gatzioufas, Z" uniqKey="Gatzioufas Z">Z Gatzioufas</name>
</author>
<author><name sortKey="Schirra, F" uniqKey="Schirra F">F Schirra</name>
</author>
<author><name sortKey="Low, U" uniqKey="Low U">U Low</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Couch, Sm" uniqKey="Couch S">SM Couch</name>
</author>
<author><name sortKey="Baratz, Kh" uniqKey="Baratz K">KH Baratz</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Stewart, Cm" uniqKey="Stewart C">CM Stewart</name>
</author>
<author><name sortKey="Li, F" uniqKey="Li F">F Li</name>
</author>
<author><name sortKey="Mcalister, Jc" uniqKey="Mcalister J">JC McAlister</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Morkin, Mi" uniqKey="Morkin M">MI Morkin</name>
</author>
<author><name sortKey="Hussain, Rm" uniqKey="Hussain R">RM Hussain</name>
</author>
<author><name sortKey="Young, Rc" uniqKey="Young R">RC Young</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Ghaffariyeh, A" uniqKey="Ghaffariyeh A">A Ghaffariyeh</name>
</author>
<author><name sortKey="Honarpisheh, N" uniqKey="Honarpisheh N">N Honarpisheh</name>
</author>
<author><name sortKey="Chamacham, T" uniqKey="Chamacham T">T Chamacham</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Chow, Vw" uniqKey="Chow V">VW Chow</name>
</author>
<author><name sortKey="Agarwal, T" uniqKey="Agarwal T">T Agarwal</name>
</author>
<author><name sortKey="Vajpayee, Rb" uniqKey="Vajpayee R">RB Vajpayee</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Ti, Se" uniqKey="Ti S">SE Ti</name>
</author>
<author><name sortKey="Chee, Sp" uniqKey="Chee S">SP Chee</name>
</author>
<author><name sortKey="Tan, Dt" uniqKey="Tan D">DT Tan</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Kansal, S" uniqKey="Kansal S">S Kansal</name>
</author>
<author><name sortKey="Sugar, J" uniqKey="Sugar J">J Sugar</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Hirano, K" uniqKey="Hirano K">K Hirano</name>
</author>
<author><name sortKey="Kojima, T" uniqKey="Kojima T">T Kojima</name>
</author>
<author><name sortKey="Nakamura, M" uniqKey="Nakamura M">M Nakamura</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Menezo, V" uniqKey="Menezo V">V Menezo</name>
</author>
<author><name sortKey="Choong, Yf" uniqKey="Choong Y">YF Choong</name>
</author>
<author><name sortKey="Hawksworth, Nr" uniqKey="Hawksworth N">NR Hawksworth</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Srinivasan, S" uniqKey="Srinivasan S">S Srinivasan</name>
</author>
<author><name sortKey="Rootman, Ds" uniqKey="Rootman D">DS Rootman</name>
</author>
</analytic>
</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Ticri/CIDE/explor/HapticV1/Data/Main/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000244 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Curation/biblio.hfd -nk 000244 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Ticri/CIDE |area= HapticV1 |flux= Main |étape= Curation |type= RBID |clé= PMC:4820919 |texte= Delayed-onset descemet membrane detachment after uneventful cataract surgery treated by corneal venting incision with air tamponade: a case report }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Curation/RBID.i -Sk "pubmed:27044281" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Curation/biblio.hfd \ | NlmPubMed2Wicri -a HapticV1
![]() | This area was generated with Dilib version V0.6.23. | ![]() |