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Year : 2019  |  Volume : 7  |  Issue : 2  |  Page : 78-81

Inadvertent descemetorhexis and Descemet's membrane detachment after cataract surgery – Reendothelialization after C3F8 descemetopexy: A case report and review of literature

Cornea Services, Chaithanya Eye Hospital and Research Institute, Trivandrum, Kerala, India

Correspondence Address:
Abraham Kurian
Medical Superintendent and Senior Consultant, Chaithanya Eye Hospital and Research Institute, Kesavadasapuram, Trivandrum - 695 004, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jcor.jcor_29_18

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We report a case of extracapsular cataract surgery, wherein inadvertent large central descemetorhexis and loss of Descemetís membrane (DM) were noted intraoperatively. Postoperatively, near total detachment of the remaining DM was noted. C3F8 descemetopexy at 2 weeks resulted in successful reattachment of the detached DM and reendothelialization in the area of lost DM. The corneal edema resolved with eventual good visual outcome and no complications. Although spontaneous reattachment of Descemetís detachment is described, early descemetopexy results in better visual outcome even in cases with extensive DM loss probably due to early resumption of the physiologic function following earlier anatomic reattachment.

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