Cárdenas DT, Guerra AM, Cruz ID, Hernández LI

Language: Spanish
References: 24
Page: 339-344
PDF size: 128.12 Kb.

ABSTRACT

Descemet´s membrane detachment is an uncommon complication of the intraocular surgery that can be devastating if it is not diagnosed and treated on time. It is usually associated to cataract surgery, although has multiple etiologies. Treatments vary from the simple observation to the penetrating keratoplasty. This is the case of a 66 year-old woman, with a history of health problems, who was operated on of cataract in her right eye through the phacoemulsification technique with posterior chamber intraocular lens implantation without apparent complications during surgery. After 24 hours, she presented with corneal edema, three crosses and normal ocular pressure. She remained with the same condition during the first week despite treatment with hypertonic sodium chloride and steroid anti-inflammatory drugs. There were no alterations in the corneal endothelium before surgery. Scheimpflug images in Pentacam showed Descemet´s membrane detachment in several sites. It was decided to apply pneumopexia which rendered transparent cornea after other 24 hours.

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