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HAROLD G. SCHEIE, MD

Arch Ophthalmol. 1965;73(3):311-314.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

This paper describes three eyes in which Descemet's membrane was inadvertently stripped from the cornea during cataract extraction. In all eyes the mishap passed unnoticed at the time of surgery, and was recognized only days or weeks later when a corneal opacity was noted that simulated the appearance of epithelial downgrowth.

Stripping of Descemet's membrane to a lesser degree is not rare. Strips of Descemet's membrane, which appear as curly tags of transparent tissue, can often be seen along the inner aspect of corneal incisions or perforations of any type. More extensive separation of Descemet's membrane frequently occurs with cyclodialysis. The author has seen several patients with permanent localized corneal edema and small epithelial blebs overlying areas where Descemet's membrane had been stripped by a cyclodialysis spatula during cyclodialysis. The edema can progress to painful bullous keratopathy with discomfort and loss of vision. Separation of Descemet's membrane from the cornea . . . [Full Text PDF of this Article]

Author Affiliations
Philadelphia

From the Department of Ophthalmology, Hospital of the University of Pennsylvania, Philadelphia General Hospital, Veterans Administration Hospital and the Children's Hospital of Philadelphia.

Footnotes
Submitted for publication Aug 3, 1964.

Read before the American Ophthalmological Society in Hot Springs, Va, May 28, 1964.

Reprint requests to 3400 Spruce St, Philadelphia, Pa 19104.

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