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NR 1-3/2008
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Postępowanie w
pooperacyjnym odłączeniu błony Descemeta – opis przypadku
Management in Descemet’s
membrane detachment after cataract surgery – case report
Edward Wylęgała1,2, Anna
Nowińska1, Dariusz Dobrowolski1, Ewa
Wróblewska-Czajka1
1Z Oddziału Okulistycznego Okręgowego Szpitala
Kolejowego w Katowicach
Ordynator: dr hab. n. med. Edward Wylęgała
2Z Zakładu Pielęgniarstwa i Społecznych Problemów
Medycznych Śląskiej Akademii Medycznej w Katowicach
Kierownik: dr hab. n. med. Edward Wylęgała |
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| Summary: |
Descemet’s membrane
detachment (DMD) is a rare, but serious complication of
cataract surgery. It can cause permanent corneal edema
that results in severe visual loss. Small detachments
resolve with topical medical therapy within few weeks to
few months. Larger detachments usually require surgical
intervention. We present a case report of a patient with
Descemet’s membrane detachment that occurred one day
after complicated phacoemulsification cataract surgery.
At 3 months after surgery visual acuity was 3/50 and
persistent corneal edema was observed. Anterior chamber
tamponade with air under topical anesthesia successfully
reattached Descement’s membrane. The corneal edema
regressed and the gas bubble resolved by the fifth day
after surgery. Patient’s left visual acuity was 5/12.
The intraocluar pressure was 17 mmHg. We believe this
method is safe, effective and results in fast visual
acuity improvement. |
| Słowa kluczowe: |
odłączenie błony Descemeta,
zaćma, tamponada powietrzem. |
| Key words: |
Descemet’s membrane
detachment, cataract, air tamponade. |
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