Descemet membrane detachment
R. J. Mackool and S. J. Holtz
Four eyes of three patients had extensive postoperative Descemet membrane
(DM) detachment. Blood was present just anterior to the DM in three of the
four eyes and later converted to and persisted as pigment. Haziness of the
cornea at the level of the DM could be seen with reattachment. Detachments
of the DM are classified as planar when there is 1 mm or less separation of
the DM from its overlying stroma in all areas. Nonplanar DM detachments
exceed 1 mm of separation. Planar detachments have a much better prognosis
than nonplanar detachments do, with or without descemetopexy. Repair of DM
detachments, when necessary, should include air injection, with the lease
possible instrumentation of the DM.
