Dr. Harsimran Kaur Bhatia, B18733, Dr. Aarti Nangia
A 65 year old male with right eye hazy cornea underwent phacoemulsification complicated by Descemet membrane detachment.Intraoperatively air was injected to fill 70% of anterior chamber(AC).
On day 1,uncorrected vision was 2/60 & diffuse corneal edema was noted.Anterior segment OCT (ASOCT) showed DMD centrally.Due to AC reaction & air bubble occupying half of AC, conservative management with topical steroids, cycloplegics, hyperosmotics & lubricants was started.Patient reported 10 days later & air injection was given following an AS-OCT that showed central & temporal DMD & nasal torn & curled DM.After 1 week, central edema persisted.
AS-OCT showed reattachment of torn DM but loose DM centrally.Air injection was repeated & corneal venting incision was given over the area of loose DM & supradescemet fluid was drained.Corneal edema resolved & DM reattached completely over 2 weeks with BCVA of 6/9P.Air injection with corneal venting incision guided by AS-OCT can be tried in complex DMDs.