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Ophthalmology and Visual Sciences

Descemet membrane detachment after cataract extraction

Descemet membrane detachment after cataract extraction

Category(ies): Cornea, Cataract
Contributor: Jesse Vislisel, MD
Photographer: Brice Critser, CRA

The patient experienced a large detachment of Descemet membrane after undergoing cataract extraction.

descement with corneal edema
Note the severe, diffuse corneal edema with bullous changes.
descemet detachment slit lamp
Note the severe, diffuse corneal edema with bullous changes - Slit Lamp.
descemet detachment OCT
The anterior segment OCT clearly demonstrates the Descemet membrane detachment as well as the presence of corneal edema and epithelial bullae in the lower two frames.
descemet detachment OCT
The patient underwent Descemet membrane endothelial keratoplasty (DMEK) with successful recovery in vision. The bottom photograph shows the anterior segment OCT with attached DMEK graft 1 month after surgery.