Outcomes of descemetopexy with isoexpansile perfluoropropane after cataract surgery

Garg, Jyoti; Mathur, Umang; Acharya, Manisha; Chauhan, Lokesh

doi:10.4103/2008-322x.183932

Cited by 15 publications

(7 citation statements)

References 11 publications

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“…However, pneumodescemetopexy with C3F8 is not without complications. Studies have previously reported raised intraocular pressure (13.5%) and pupillary block glaucoma (11%) post pneumodescemetopexy with C3F8 [ 5 , 6 ]. Injection of a large amount of C3F8 can cause compression of the iris against the lens surface leading to iris ischemia and subsequent Urrets-Zavalia syndrome [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Pneumodescemetopexy With a Lower Concentration of Perfluoropropane (10% C3F8) in Descemet Membrane Detachment

Chow¹,

Ali²,

Bastion³

2021

Cureus

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A 75-year-old man with underlying left eye idiopathic orbital inflammatory disease and bilateral glaucoma suspect with cup disc ratio 0.7 underwent right eye phacoemulsification. Intraoperatively, Descemet tear and Descemet membrane detachment (DMD) occurred. Pneumodescemetopexy with air bubble was performed. His vision remained counting fingers and the cornea was oedematous three weeks after the operation. Anterior segment optical coherence tomography (ASOCT) showed extensive (80%) rhegmatogenous DMD with planar edge and a maximum of 460 micrometers separation from the stroma. Pneumodescemetopexy with low concentration perfluoropropane (10% C3F8) was performed together with postoperative positioning. On day five post-pneumodescemetopexy, his vision improved to 6/9, the cornea cleared with mild Descemet striae, and the gas bubble reduced to 30% fill. There was no DMD detected on ASOCT. His vision remained 6/9 and the residual gas bubble was 15% in the anterior chamber at two weeks post-pneumodescemetopexy. This case report suggests that pneumodescemetopexy with 10% C3F8 successfully reattached the large nonplanar rhegmatogenous DMD.

show abstract

Section: Discussionmentioning

confidence: 99%

Pneumodescemetopexy With a Lower Concentration of Perfluoropropane (10% C3F8) in Descemet Membrane Detachment

Chow¹,

Ali²,

Bastion³

2021

Cureus

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show abstract

“…Possible intraoperative complications are IOP rise due to pupillary block, inadvertent intrastromal gas injection, and injury to the lens. [5]…”

Section: Discussionmentioning

confidence: 99%

Pneumodesmetopexy with perfluoropropane for acute corneal hydrops in keratoconus

Srirampur

Kalwad

2019

Oman J Ophthalmol

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Acute corneal hydrops (CH) occurs when there is a tear in descemets membrane causing rolling of its edges, creating a gap through which aqueous from anterior chamber (AC) percolates into corneal stroma. Acute CH occurs in approximately 2.5-3% of eyes with KC. Conventional therapy is patching or bandage contact lens application with topical cycloplegics and topical hypertonic sodium chloride. Here, we report a case of 9-year-old boy with bilateral keratoconus with left eye acute hydrops who was successfully treated with pneumodesmetopexy with perflouropropane (C3F8).

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“…A successful surgical intervention reattaches a detached Descemet’s membrane (DM) and has been shown to enhance corneal deturgescence and recovery of visual function. Successful reattachment of DM has been reported with the intracameral use of air, viscoelastic substance and expansile gases including sulfur hexafluoride (SF6) and perfluoro propane (C3F8) 3. Several authors have reported air descemetopexy to be a safe and effective treatment option for DMD 3 4…”

Section: Introductionmentioning

confidence: 99%

“…Successful reattachment of DM has been reported with the intracameral use of air, viscoelastic substance and expansile gases including sulfur hexafluoride (SF6) and perfluoro propane (C3F8) 3. Several authors have reported air descemetopexy to be a safe and effective treatment option for DMD 3 4…”

Section: Introductionmentioning

confidence: 99%

Manual schism and intracameral air injection for impacted Descemet’s membrane detachment

Sharma

Kulshreshta³

et al. 2023

BMJ Case Rep

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A woman in her 60s was referred to us for management of poor vision following cataract surgery in the right eye. She had undergone manual small incision cataract surgery 12 weeks earlier. Slit-lamp biomicroscopy revealed corneal oedema, a horizontal line at the upper border and the adhered inferior border of detached Descemet’s membrane (DM). Clinical diagnosis of impacted Descemet’s membrane detachment (DMD) was considered.Surgical intervention with manual schisis and intracameral injection of air was planned. Using the ‘push technique,’ we tried to place the tip of the 27 gauge cannula between the back of the cornea and detached DM. The tip of the 27 gauge cannula was behind the impacted DM, and air injection was unsuccessful. Using the back-up the ‘pull technique,’ bent tip of the 27 gauge cannula was used to pull the impacted DMD. This manoeuvre, disimpacted the inferior border and the air bubble, was injected using the 27 gauge cannula. The air bubble unfolded and reattached the DM successfully.

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Outcomes of descemetopexy with isoexpansile perfluoropropane after cataract surgery

Cited by 15 publications

References 11 publications

Pneumodescemetopexy With a Lower Concentration of Perfluoropropane (10% C3F8) in Descemet Membrane Detachment

Pneumodescemetopexy With a Lower Concentration of Perfluoropropane (10% C3F8) in Descemet Membrane Detachment

Pneumodesmetopexy with perfluoropropane for acute corneal hydrops in keratoconus

Manual schism and intracameral air injection for impacted Descemet’s membrane detachment

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