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CASE REPORT
Year : 2015  |  Volume : 5  |  Issue : 3  |  Page : 136-139

Occult Descemet’s membrane detachment after phacoemulsification surgery mimicking pseudophakic bullous keratopathy


Department of Ophthalmology, National Cheng-Kung University Hospital, College of Medicine, National Cheng-Kung University, Tainan, Taiwan

Correspondence Address:
Sung-Huei Tseng
Department of Ophthalmology, National Cheng-Kung University Hospital, College of Medicine, National Cheng-Kung University, 138 Sheng-Li Road, Tainan
Taiwan
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Source of Support: None, Conflict of Interest: None


DOI: 10.1016/j.tjo.2015.04.001

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We herein report two cases of occult Descemet’s membrane detachment (DMD) after phacoemulsifi-cation surgery, which initially presented as persistent corneal edema and had been considered as pseudophakic bullous keratopathy. The patients were thus scheduled to receive corneal transplantation. For Case 1, DMD was incidentally detected by slit-lamp examination 2 months postoperatively, only when part of the cornea became clearer. For Case 2, anterior segment optical coherence tomography demonstrated extensive DMD, which had lasted 5 months after the operation. DMDs in both patients had been successfully attached after descemetopexy. Occult DMD should be suspected in patients with persistent severe corneal edema after phacoemulsification surgery. Corneal transplantation may be avoided by timely diagnosis and treatment of DMD.


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