Inadvertent descemetorhexis and Descemet's membrane detachment after cataract surgery – Reendothelialization after C3F8 descemetopexy: A case report and review of literature

• Main Authors: Abraham Kurian, Iodine Reghunadhan, Swapna Nair, Asha George
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2019-01-01
• Series: Journal of Clinical Ophthalmology and Research
• Subjects: C3F8; descemetopexy; descemetorhexis
• Online Access: http://www.jcor.in/article.asp?issn=2320-3897;year=2019;volume=7;issue=2;spage=78;epage=81;aulast=Kurian

We report a case of extracapsular cataract surgery, wherein inadvertent large central descemetorhexis and loss of Descemet's membrane (DM) were noted intraoperatively. Postoperatively, near total detachment of the remaining DM was noted. C3F8 descemetopexy at 2 weeks resulted in successful reattachment of the detached DM and reendothelialization in the area of lost DM. The corneal edema resolved with eventual good visual outcome and no complications. Although spontaneous reattachment of Descemet's detachment is described, early descemetopexy results in better visual outcome even in cases with extensive DM loss probably due to early resumption of the physiologic function following earlier anatomic reattachment.