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International Ophthalmology

, Volume 30, Issue 4, pp 391–396 | Cite as

Descemet’s membrane detachment after cataract extraction surgery

  • Hani S. Al-Mezaine
Article

Abstract

Descemet’s membrane detachment (DMD) is a rare but potentially serious complication of intraocular surgery, most commonly cataract extraction. Many predisposing factors of DMD have been postulated; however, none have proved to be significant. Most DMDs are surgically induced; however, the occurrence of this entity bilaterally, during or after otherwise uneventful cataract extraction surgery, might be related to an inherent abnormal adhesion between the stroma and Descemet’s membrane or pre-existing endothelial abnormalities. Early recognition and proper management are important to preserve the vision and avoid permanent corneal damage. Although a small, localized detachment at the wound area tends to heal by spontaneous re-attachment, a larger or more progressive detachment requires surgical intervention because the prognosis of spontaneous re-attachment is poor.

Keywords

Descemet’s membrane detachment Extracapsular cataract extraction Phacoemulsification 

Notes

Conflict of interest

The author has no conflict of interest or proprietary interest with any of the material presented in the manuscript.

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Copyright information

© Springer Science+Business Media B.V. 2010

Authors and Affiliations

  1. 1.Department of Ophthalmology, College of MedicineKing Saud UniversityRiyadhSaudi Arabia
  2. 2.Department of OphthalmologyKing Abdulaziz University HospitalRiyadhSaudi Arabia

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