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Descemet Membrane Detachment After Nd:YAG Laser Capsulotomy in a Patient With Fuchs Dystrophy

Abstract : Purpose: Descemet membrane detachment (DMD) is uncommon. It most frequently occurs as a complication of intraocular surgery. The aim of this study was to report a case of DMD after neodymium-doped yttrium aluminum garnet (Nd:YAG) laser capsulotomy in a patient with Fuchs dystrophy. Methods: We describe the case of an 89-year-old man suffering from Fuchs dystrophy, who underwent cataract surgery on his left eye. Three years later, the patient presented with posterior capsule opacification, which was treated using Nd:YAG laser capsulotomy. The day after the procedure, the patient came back for emergency treatment because of an acute reduction in his vision caused by a DMD. Results: Fifteen days after an initial treatment involving the injection of air into the anterior chamber coupled with ocular paracentesis, clinical examination revealed a significant improvement in visual acuity, reduction in corneal edema, and reattachment of Descemet membrane. These findings were confirmed using anterior segment optical coherence tomography. Conclusions: To our knowledge, this is the first reported case of DMD after Nd:YAG laser capsulotomy.
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Submitted on : Thursday, October 17, 2019 - 9:50:34 AM
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Mickaël Afriat, Julie Gueudry, Hela Yahia Chérif, Élodie Maringe, Marc Muraine. Descemet Membrane Detachment After Nd:YAG Laser Capsulotomy in a Patient With Fuchs Dystrophy. Cornea, Lippincott, Williams & Wilkins, 2014, 33 (10), pp.1103-1105. ⟨10.1097/ICO.0000000000000222⟩. ⟨hal-02317973⟩



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