Successful management of misdiagnosed Descemet membrane detachment after phacoemulsification surgery

Abstract

An 85-year-old man without antecedents of ocular disease history presented with reduced vision 4 months after uneventful phacoemulsification cataract surgery and IOL implantation in the right eye at a local clinic in the right eye. The visual acuity in the right eye was counting fingers at 3 m and 20/20 in the left eye. Slitlamp examination of the anterior chamber showed corneal edema with folds and fibrotic opacified formations in Descemet membrane. Descemet membrane detachment (DMD) was clearly observed using Fourier-domain optical coherence tomography (OCT). The fibrotic formations were removed, and the DMD was successfully reattached with intracameral injection of sulfur hexafluoride. The healing of DM could be viewed clearly through anterior segment OCT