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Descemet membrane detachment during foldable intraocular lens implantation.

Identifieur interne : 000F61 ( PubMed/Curation ); précédent : 000F60; suivant : 000F62

Descemet membrane detachment during foldable intraocular lens implantation.

Auteurs : Rashim Mannan [Inde] ; Archna Pruthi ; Rohit Om Parkash ; Vishal Jhanji

Source :

RBID : pubmed:21252686

English descriptors

Abstract

Descemet membrane detachment (DMD) during phacoemulsification is a well-known complication. Although most of the DMDs resolve on their own, some may require surgical intervention in the form of intracameral injection of air or isoexpansive gas. We report the occurrence and subsequent management of a patient with DMD caused by the leading haptic of a foldable intraocular lens (IOL) during its insertion.

DOI: 10.1097/ICL.0b013e31820c6fe7
PubMed: 21252686

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pubmed:21252686

Le document en format XML

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<title xml:lang="en">Descemet membrane detachment during foldable intraocular lens implantation.</title>
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<name sortKey="Mannan, Rashim" sort="Mannan, Rashim" uniqKey="Mannan R" first="Rashim" last="Mannan">Rashim Mannan</name>
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<nlm:affiliation>Ophthalmology Department, Baba Deep Singh Charitable Hospital, Amritsar, India.</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Ophthalmology Department, Baba Deep Singh Charitable Hospital, Amritsar</wicri:regionArea>
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<name sortKey="Pruthi, Archna" sort="Pruthi, Archna" uniqKey="Pruthi A" first="Archna" last="Pruthi">Archna Pruthi</name>
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<name sortKey="Om Parkash, Rohit" sort="Om Parkash, Rohit" uniqKey="Om Parkash R" first="Rohit" last="Om Parkash">Rohit Om Parkash</name>
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<name sortKey="Jhanji, Vishal" sort="Jhanji, Vishal" uniqKey="Jhanji V" first="Vishal" last="Jhanji">Vishal Jhanji</name>
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<nlm:affiliation>Ophthalmology Department, Baba Deep Singh Charitable Hospital, Amritsar, India.</nlm:affiliation>
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<name sortKey="Jhanji, Vishal" sort="Jhanji, Vishal" uniqKey="Jhanji V" first="Vishal" last="Jhanji">Vishal Jhanji</name>
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<title level="j">Eye & contact lens</title>
<idno type="eISSN">1542-233X</idno>
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<term>Air</term>
<term>Cataract Extraction (methods)</term>
<term>Corneal Diseases (etiology)</term>
<term>Corneal Diseases (pathology)</term>
<term>Corneal Diseases (surgery)</term>
<term>Corneal Edema (etiology)</term>
<term>Descemet Membrane (pathology)</term>
<term>Equipment Design</term>
<term>Female</term>
<term>Humans</term>
<term>Injections, Intraocular</term>
<term>Lens Implantation, Intraocular (adverse effects)</term>
<term>Middle Aged</term>
<term>Ophthalmologic Surgical Procedures</term>
<term>Phacoemulsification</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Lens Implantation, Intraocular</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Corneal Diseases</term>
<term>Corneal Edema</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Cataract Extraction</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Corneal Diseases</term>
<term>Descemet Membrane</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Corneal Diseases</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Air</term>
<term>Equipment Design</term>
<term>Female</term>
<term>Humans</term>
<term>Injections, Intraocular</term>
<term>Middle Aged</term>
<term>Ophthalmologic Surgical Procedures</term>
<term>Phacoemulsification</term>
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<front>
<div type="abstract" xml:lang="en">Descemet membrane detachment (DMD) during phacoemulsification is a well-known complication. Although most of the DMDs resolve on their own, some may require surgical intervention in the form of intracameral injection of air or isoexpansive gas. We report the occurrence and subsequent management of a patient with DMD caused by the leading haptic of a foldable intraocular lens (IOL) during its insertion.</div>
</front>
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<Year>2011</Year>
<Month>02</Month>
<Day>21</Day>
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<Year>2011</Year>
<Month>06</Month>
<Day>07</Day>
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<ISSN IssnType="Electronic">1542-233X</ISSN>
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<Volume>37</Volume>
<Issue>2</Issue>
<PubDate>
<Year>2011</Year>
<Month>Mar</Month>
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<Title>Eye & contact lens</Title>
<ISOAbbreviation>Eye Contact Lens</ISOAbbreviation>
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<ArticleTitle>Descemet membrane detachment during foldable intraocular lens implantation.</ArticleTitle>
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<ELocationID EIdType="doi" ValidYN="Y">10.1097/ICL.0b013e31820c6fe7</ELocationID>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Descemet membrane detachment (DMD) during phacoemulsification is a well-known complication. Although most of the DMDs resolve on their own, some may require surgical intervention in the form of intracameral injection of air or isoexpansive gas. We report the occurrence and subsequent management of a patient with DMD caused by the leading haptic of a foldable intraocular lens (IOL) during its insertion.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A 50-year-old woman underwent coaxial phacoemulsification for age-related cataract in her right eye. Descemet membrane detachment was noted during the insertion of the foldable posterior chamber IOL through a temporal 2.2-mm incision. Corneal edema did not resolve by the third postoperative day. Scheimpflug photography demonstrated a complete separation between the posterior stroma and DM along the entirety of the cornea. Surgical intervention was performed on the fourth postoperative day, which involved creation of stab incisions into the pre-Descemet space along with intracameral air injection.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Successful apposition of the DM followed by clearing of corneal edema was observed within 1 week.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Our case report highlights the potential complication of DM detachment during insertion of foldable IOL. We performed stab incisions in the pre-DM space to achieve quick and successful repositioning of the detached DM with favorable results.</AbstractText>
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