Descemet membrane detachment post- phacoemulsification

We report the case series of phacoemulsification-related Descemet membrane detachment (DMD) encountered at a tertiary hospital in Kuala Lumpur. Case 1 was an iatrogenic DMD which was detected intraoperatively and managed early with good outcome. Case 2 and case 3 described unusual presentation of...

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Main Authors: Muhammad Najmi K, Logeswary K, Rona Asnida Nasaruddin, Wan Haslina WAH, Umi Kalthum MN, Aida Zairani Mohd Zahidin
Format: Article
Language:English
Published: Pusat Perubatan Universiti Kebangsaan Malaysia 2018
Online Access:http://journalarticle.ukm.my/20212/
http://journalarticle.ukm.my/20212/1/19_ms0162_pdf_60142.pdf
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author Muhammad Najmi K,
Logeswary K,
Rona Asnida Nasaruddin,
Wan Haslina WAH,
Umi Kalthum MN,
Aida Zairani Mohd Zahidin,
author_facet Muhammad Najmi K,
Logeswary K,
Rona Asnida Nasaruddin,
Wan Haslina WAH,
Umi Kalthum MN,
Aida Zairani Mohd Zahidin,
author_sort Muhammad Najmi K,
building UKM Institutional Repository
collection Online Access
description We report the case series of phacoemulsification-related Descemet membrane detachment (DMD) encountered at a tertiary hospital in Kuala Lumpur. Case 1 was an iatrogenic DMD which was detected intraoperatively and managed early with good outcome. Case 2 and case 3 described unusual presentation of DMD which was initially undiagnosed. This report highlights the use of anterior segment optical coherence tomography (ASOCT) in detecting and confirming the correct diagnosis for DMD. With the aid of an experienced corneal specialist, the higher threshold for suspicious occurrence of DMD was confirmed using ASOCT. Treatment was tailored accordingly, with successful clearance of corneal oedema and visual recovery. This case series highlighted the importance of proper operative documentation and high threshold for suspicion for DMD in focal corneal oedema following an otherwise uneventful cataract surgery. It is concluded that ASOCT is an excellent tool to confirm diagnosis of DMD and success of treatment.
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spelling oai:generic.eprints.org:202122022-10-21T08:34:49Z http://journalarticle.ukm.my/20212/ Descemet membrane detachment post- phacoemulsification Muhammad Najmi K, Logeswary K, Rona Asnida Nasaruddin, Wan Haslina WAH, Umi Kalthum MN, Aida Zairani Mohd Zahidin, We report the case series of phacoemulsification-related Descemet membrane detachment (DMD) encountered at a tertiary hospital in Kuala Lumpur. Case 1 was an iatrogenic DMD which was detected intraoperatively and managed early with good outcome. Case 2 and case 3 described unusual presentation of DMD which was initially undiagnosed. This report highlights the use of anterior segment optical coherence tomography (ASOCT) in detecting and confirming the correct diagnosis for DMD. With the aid of an experienced corneal specialist, the higher threshold for suspicious occurrence of DMD was confirmed using ASOCT. Treatment was tailored accordingly, with successful clearance of corneal oedema and visual recovery. This case series highlighted the importance of proper operative documentation and high threshold for suspicion for DMD in focal corneal oedema following an otherwise uneventful cataract surgery. It is concluded that ASOCT is an excellent tool to confirm diagnosis of DMD and success of treatment. Pusat Perubatan Universiti Kebangsaan Malaysia 2018 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/20212/1/19_ms0162_pdf_60142.pdf Muhammad Najmi K, and Logeswary K, and Rona Asnida Nasaruddin, and Wan Haslina WAH, and Umi Kalthum MN, and Aida Zairani Mohd Zahidin, (2018) Descemet membrane detachment post- phacoemulsification. Medicine & Health, 13 (1). pp. 208-214. ISSN 2289-5728 https://www.medicineandhealthukm.com/toc/13/1
spellingShingle Muhammad Najmi K,
Logeswary K,
Rona Asnida Nasaruddin,
Wan Haslina WAH,
Umi Kalthum MN,
Aida Zairani Mohd Zahidin,
Descemet membrane detachment post- phacoemulsification
title Descemet membrane detachment post- phacoemulsification
title_full Descemet membrane detachment post- phacoemulsification
title_fullStr Descemet membrane detachment post- phacoemulsification
title_full_unstemmed Descemet membrane detachment post- phacoemulsification
title_short Descemet membrane detachment post- phacoemulsification
title_sort descemet membrane detachment post- phacoemulsification
url http://journalarticle.ukm.my/20212/
http://journalarticle.ukm.my/20212/
http://journalarticle.ukm.my/20212/1/19_ms0162_pdf_60142.pdf