Delayed-onset spontaneous bilateral Descemet’s membrane detachment after uneventful phacoemulsification

A 69-year-old male presented with defective vision in both eyes. Best corrected visual acuity (BCVA) was 6/6 p with anterior cortical and posterior subcapsular cataracts in both eyes. Fundus examination was normal. He underwent successful phacoemulsification with intraocular lens implantation in the left eye, improving BCVA to 6/6. Two months later, BCVA in the right eye decreased to 6/12p; cataract progression was noted. Phacoemulsification in the right eye restored BCVA to 6/6. Four months post-left eye surgery, he developed corneal edema with descemet membrane detachment (DMD). Multiple descemetopexies with SF6 led to reattachment. Right eye also developed DMD which reattached with SF6 descemetopexy. Final visual acuity was 6/6 in the right eye and 6/6 partial in the left eye.