The benefit of ultrasound biomicroscopy (UBM) in management of total Descemet's membrane detachment after deep sclerectomy surgery.

The purpose of this study is to report the importance of ultrasound biomicroscopy (UBM) in the diagnosis of Descemet's membrane detachment (DMD) and the efficacy of sulfur hexafluoride (SF6) gas in its management. DMD was identified by UBM in a 22-year-old woman with juvenile glaucoma who underwent deep sclerectomy surgery and developed severe corneal oedema postoperatively. SF6 gas 15% was injected into the anterior chamber. The procedure resulted in reattachment of Descemet's membrane and a completely clear cornea. DMD can be easily overlooked or misdiagnosed after non-penetrating glaucoma surgery. UBM is helpful in diagnosis and management of DMD and descemetopexy with SF6 gas can give good results.