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UNUSUAL CLINICAL CASES

Descemet Membrane Detachment

Descemet Membrane Detachment - Start  
Descemet Membrane Detachment - End  

Descemet´s membrane detachment (DMD) is an uncommon condition, that can occur after anterior segment surgeries and results in corneal edema at the area of detachment. DMD can be localized, extensive or total and can cause permanent corneal decompensation. The most common cause is a localized detachment occurring after cataract surgery.

Small detachments may resolve spontaneously. Treatment options include topical treatment with steroids and hyper osmotic agents, intracameral air or expansile gas injection, supra Descemet fluid drainage with intra-cameral air, viscoelastic injection or transcorneal suturing. In extensive DMD, early surgical treatment is recommended to achieve good results.

 
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