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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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CASE REPORT
Year : 2011  |  Volume : 18  |  Issue : 2  |  Page : 189-191

Supra-descemet's fluid drainage with simultaneous air injection: An alternative treatment for Descemet's membrane detachment


Department of Ophthalmology, Dr. Khodadoust Eye Hospital, Shiraz, Iran

Correspondence Address:
Alireza Ghaffariyeh
Dr. Khodadoust Eye Hospital, Motahari Avenue, Shiraz, Fars
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-9233.80712

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In this report, we present an alternative technique to manage Descemet's membrane detachment (DMD). We call the technique supra-Descemet's fluid drainage with intracameral air injection. Under topical anesthesia, we injected air through the stab incision to fill 2/3 of the anterior chamber. Then we inserted the tip of a curved 10/0 needle through the corneal surface (entry angle at 45 degrees) into the supra-Descemet's area 3 times to drain this fluid. In our method, we neither injected expanding gas or viscoelastic nor used a suture. Consequently, there was little chance for suture-induced astigmatism or increased intraocular pressure. This technique may be considered a relatively safe and simple surgical method for the management of postoperative DMD.


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