Incidence of Descemet Membrane Detachment after Phacoemulsification Cataract Surgery in a Sample of Iraqi Patients at Ibn Al-Haitham Teaching Eye Hospital
DOI:
https://doi.org/10.54133/ajms.v7i2.1317Keywords:
Descemet membrane detachment, Cataract surgery, Visual impairment, Endothelial diseases, IncidenceAbstract
Background: Descemet's membrane detachment (DMD) is a common complication following phacoemulsification surgery that can have a significant impact on the visual prognosis of patients undergoing surgery. Objective: Determine the incidence of DMD following phacoemulsification cataract surgery and identify potential risk factors for detaching. Methods: A prospective study was undertaken at Ibn Al-Haitham Eye Teaching Hospital between October 1st, 2022, and September 1st, 2023. Patients who underwent cataract surgery were clinically evaluated for DMD. Cataract density is ranked from 1 to 4 based on density and hardness. The conventional phacoemulsification surgery was performed without the use of systemic acetazolamide prior to the procedure. Results: The study included 253 participants, ranging in age from 10 to 89 years. One case indicated central detachment, while seven showed peripheral detachment. The stability of the Descemet membrane was found to be significantly associated with patients under the age of 65. Non-diabetics demonstrated a significant association with the lack of DMD. We discovered a statistically significant link between surgical operations lasting less than 30 minutes and a lack of separation. The single usage of a keratome was strongly related to the lack of detachment. Conclusions: DMD incidence is significantly associated with elderly people (≥65 years). We discovered a strong relationship between the lack of DMD and non-diabetic people who had a single keratome treatment lasting less than 30 minutes.
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