Descemet Membrane Detachment After Cataract Phacoemulsification. A Clinical Case

Purpose. To evaluate the clinical outcomes of air injection in the treatment of Descemet’s membrane detachment following phacoemulsification with toric intraocular lens implantation. Material and methods. Descemet membrane detachment occupying approximately one-third of the corneal surface was identified after phacoemulsification of the left eye. Pneumatic descemetopexy was performed by injecting air under the guidance of intraoperative anterior segment optical coherence tomography. Results. On the first day after pneumatic descemetopexy, a reduction in corneal edema and partial reattachment of the membrane were observed. Complete restoration of corneal integrity and transparency was achieved by the 11th day of follow-up. Conclusion. Pneumatic descemetopexy with air injection, performed under intraoperative anterior segment optical coherence tomography guidance, achieved complete reattachment of Descemet’s membrane to the corneal stroma within 11 days, leading to rapid restoration of corneal optical transparency. Key words: Descemet membrane detachment, pneumatic descemetopexy, cataract phacoemulsification, intraoperative anterior segment optical coherence tomography