|Year : 2022 | Volume
| Issue : 2 | Page : 610
Double anterior chamber or descemet membrane detachment - Why and how to distinguish?
Swetha Ravichandran1, Radhika Natarajan1, Jothi Balaji Janarthanam2
1 Department of Cornea and Refractive Surgery, Sankara Nethralaya, Medical Research Foundation, Chennai, Tamil Nadu, India
2 Department of Optometry, Sankara Nethralaya, Medical Research Foundation, Chennai, Tamil Nadu, India
|Date of Web Publication||13-Apr-2022|
Sankara Nethralaya, Medical Research Foundation, 41, College Road, Chennai - 600 006, Tamil Nadu
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Ravichandran S, Natarajan R, Janarthanam JB. Double anterior chamber or descemet membrane detachment - Why and how to distinguish?. Indian J Ophthalmol Case Rep 2022;2:610
|How to cite this URL:|
Ravichandran S, Natarajan R, Janarthanam JB. Double anterior chamber or descemet membrane detachment - Why and how to distinguish?. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 May 27];2:610. Available from: https://www.ijoreports.in/text.asp?2022/2/2/610/342913
A membrane posterior to a penetrating corneal graft could be Descemet's membrane detachment (DMD), retained host Descemet's membrane (DM), or inflammatory retro-corneal membrane. A flimsy, translucent inferior retro-graft membrane of 4–5-mm height was noted, on the second postoperative day, suspicious of DMD [Figure 1]a.
|Figure 1: (a) Slit picture of membrane (yellow arrowheads) behind the graft on the second postoperative day. (b) AS-OCT showing membrane (yellow arrowheads) 3 mm away from graft by cursor measurement. Bright reflex of intact graft Descemet's membrane also seen (pink arrowheads). (c) Fibrosed membrane (yellow arrowheads) with clear overlying graft at 2 months follow up. (d) Thickened membrane on AS-OCT at 2 months follow-up|
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However, it was taut, distant from overlying graft on anterior segment optical coherence tomography (AS-OCT) with graft compact, suggestive of retained host DM due to incomplete trephination [Figure 1]b. The membrane later thickened and fibrosed at 8 weeks [Figure 1]c and [Figure 1]d.
The distinction is important as DMD needs repair to avoid decompensation while retained DM can be watched for complications.
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Conflicts of interest
There are no conflicts of interest.
| References|| |
Chen YP, Lai PC, Chen PY, Lin KK, Hsiao CH. Retained descemet's membrane after penetrating keratoplasty. J Cataract Refract Surg 2003;29:1842-4.
Thyagarajan S, Mearza AA, Falcon MG. Inadvertent retention of descemet membrane in penetrating keratoplasty. Cornea 2006;25:748-9.