Akin Tugrul, Ayata Ali, Aykan Umit, Bilge Ahmet Hamdi
Ophthalmic Surg Lasers Imaging. 2010 Mar 9:1-3. doi: 10.3928/15428877-20100215-01.
Descemet's membrane detachment (DMD) is one of the rare complications seen during or after cataract surgery. It can cause permanent corneal decompensation if untreated or not reattached spontaneously. A patient with an extensive DMD (involving approximately upper two-thirds of the cornea) during uncomplicated phacoemulsification surgery is reported. After the aspiration of cortical remnants, Descemet's membrane was detached progressively from the clear corneal incision. Descemet's membrane was reattached at the end of the procedure using an air bubble injection. However, DMD was observed again the day after surgery. It was successfully treated with intracameral injection of 0.2 mL volume of 14% perfluoropropane (C(3)F(8)) gas with resultant immediate resolution of his corneal edema. It is believed that early surgical intervention (if possible intraoperatively) with intracameral injection of 14% isoexpansile mixture of C(3)F(8) is a safe and efficient treatment modality for DMD. Appropriate and prompt management may prevent the complications and visual loss.
Descemet膜脱离（DMD）是白内障手术期间或术后罕见的并发症之一。如果不进行治疗或未自发重新附着，它可导致永久性角膜失代偿。本文报告了1例在单纯超声乳化手术期间发生广泛DMD（累及角膜上约三分之二）的患者。在吸出皮质残留后，Descemet膜从透明角膜切口处逐渐脱离。在手术结束时通过注入气泡使Descemet膜重新附着。然而，术后第二天再次观察到DMD。通过前房内注射0.2 mL体积的14%全氟丙烷（C(3)F(8)）气体成功治疗，其角膜水肿立即消退。据信，早期手术干预（如果可能在术中进行）并前房内注射14%等膨胀性C(3)F(8)混合物是治疗DMD的一种安全有效的治疗方式。适当且及时的处理可预防并发症和视力丧失。
