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| OPHTHALMIC IMAGE |
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| Year : 2022 | Volume
: 2
| Issue : 2 | Page : 610 |
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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 |
Correspondence Address:
Radhika Natarajan
Sankara Nethralaya, Medical Research Foundation, 41, College Road, Chennai - 600 006, Tamil Nadu
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijo.IJO_1936_21
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 2023 Jun 2];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.[1] The membrane later thickened and fibrosed at 8 weeks [Figure 1]c and [Figure 1]d.[2]
The distinction is important as DMD needs repair to avoid decompensation while retained DM can be watched for complications.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | 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.  |
| 2. | Thyagarajan S, Mearza AA, Falcon MG. Inadvertent retention of descemet membrane in penetrating keratoplasty. Cornea 2006;25:748-9. |
[Figure 1]
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