Incidence of Descemet Membrane Detachment after Phacoemulsification Cataract Surgery in a Sample of Iraqi Patients at Ibn Al-Haitham Teaching Eye Hospital

Authors

  • Farooq Mohammed Abbas College of Medicine, Jabir Ibn Hayyan Medical University, Najaf, Iraq
  • Alyaa Abood Kareem Faculty of Medicine, University of Kufa, Najaf, Iraq https://orcid.org/0009-0007-2790-2871
  • Wisam Mohammed Hado Lamar Eyes Centre, Karbala, Iraq
  • Hussein Mahmood Ahmed Ibn Al-Haitham Teaching Eye Hospital, Baghdad, Iraq

DOI:

https://doi.org/10.54133/ajms.v7i2.1317

Keywords:

Descemet membrane detachment, Cataract surgery, Visual impairment, Endothelial diseases, Incidence

Abstract

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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References

Guo P, Pan Y, Zhang Y, Tighe S, Zhu Y, Li M, et al. Study on the classification of Descemet membrane detachment after cataract surgery with AS-OCT. Int J Med Sci. 2018;15(11):1092-1097. doi: 10.7150/ijms.26972.

Rosetta P, Legrottaglie EF, Vinciguerra R, Vinciguerra P. Late onset Descemet membrane detachment after radial keratotomy resolved with medical therapy. Case Rep Ophthalmol Med. 2017;2017:5804965. doi: 10.1155/2017/5804965.

Benatti CA, Tsao JZ, Afshari NA. Descemet membrane detachment during cataract surgery: etiology and management. Curr. Opin. Ophthalmol. 2017;28(1):35-41. doi: 10.1097/ICU.0000000000000332.

Odayappan A, Shivananda N, Ramakrishnan S, Krishnan T, Nachiappan S, Krishnamurthy S. A retrospective study on the incidence of post-cataract surgery Descemet’s membrane detachment and outcome of air descemetopexy. Br J Ophthalmol. 2018;102(2):182-186. doi: 10.1136/bjophthalmol-2016-309766.

Kancherla S, Shue A, Pathan MF, Sylvester CL, Nischal KK. Management of Descemet membrane detachment after forceps birth injury. Cornea. 2017;36(3):375-376. doi: 10.1097/ICO.0000000000001147.

Beniwal A, Venugopal A, Vanathi M, Tandon R. Descemet’s membrane detachment: An update. Delhi J Ophthalmol. 2022;32(6):5-12. doi: 10.4103/dljo.dljo_55_23.

Chow VWS, Agarwal T, Vajpayee RB, Jhanji V. Update on diagnosis and management of Descemet's membrane detachment. Curr Opin Ophthalmol. 2013;24(4):356-361. doi: 10.1097/ICU.0b013e3283622873.

Singh A, Vanathi M, Sahu S, Devi S. Intraoperative OCT assisted Descemetopexy with stromal vent incisions and intracameral gas injection for case of non-resolving Descemet's membrane detachment. BMJ Case Rep. 2017;2017:2016217268. doi: 10.1136/bcr-2016-217268.

Dua HS, Sinha R, D'Souza S, Potgieter F, Ross A, Kenawy M, et al. Descemet membrane detachment: A novel concept in diagnosis and classification. Am J Ophthalmol. 2020;218:84-98. doi: 10.1016/j.ajo.2020.05.038.

Kumar DA, Agarwal A, Sivanganam S, Chandrasekar R. Height-, extent-, length-, and pupil-based (HELP) algorithm to manage post-phacoemulsification Descemet membrane detachment. J Cataract Refract Surg. 2015;41(9):1945-1953. doi: doi: 10.1016/j.jcrs.2015.01.020.

Samarawickrama C, Beltz J, Chan E. Descemet's membrane detachments post cataract surgery: a management paradigm. Int J Ophthalmol. 2016;9(12):1839-1842. doi: 10.18240/ijo.2016.12.23.

Samarawickrama C, Beltz J, Chan E. Descemet's membrane detachments post cataract surgery: a management paradigm. Int J Ophthalmol. 2016;9(12):1839. doi: 10.18240/ijo.2016.12.23.

Dai Y, Liu Z, Wang W, Qu B, Liu J, Congdon N, et al. Real-time imaging of incision-related Descemet membrane detachment during cataract surgery. JAMA Ophthalmol. 2021;139(2):150-155. doi: 10.1001/jamaophthalmol.2020.5396.

Joshi AK, Kakulavaram MR, Gotekar RB. Diagnosing Descemet membrane detachment in patients undergoing cataract surgery using an AS-OCT-based HELP algorithm: A prospective cross-sectional study. J Clin Diagn Res. 2023;17(2). doi: 10.7860/JCDR/2023/60056.17472.

Ajgaonkar BS, Kumaran A, Kumar S, Jain RD, Dandekar PP. Cell-based therapies for corneal and retinal disorders. Stem Cell Rev. 2023;19(8):2650-2682. doi:10.1007/s12015-023-10623-0.

Feldman-Billard S, Dupas B. Eye disorders other than diabetic retinopathy in patients with diabetes. Diabetes Metab J. 2021;47(6):101279. doi: 10.1016/j.diabet.2021.101279.

Das M, Shaik MB, Radhakrishnan N, Prajna VN. Descemet membrane suturing for large descemet membrane detachment after cataract surgery. Cornea. 2020;39(1):52-55. doi: 10.1097/ICO.0000000000002113.

Naumann GOH, Schlötzer-Schrehardt U. Keratopathy in pseudoexfoliation syndrome as a cause of corneal endothelial decompensation. Ophthalmology. 2000;107(6):1111-1124. doi: 10.1016/S0161-6420(00)00087-7.

Sharma N, Bandivadekar P, Agarwal T, Shah R, Titiyal JS. Incision-site Descemet membrane detachment during and after phacoemulsification: Risk factors and management. Eye Cont Lens. 2015;41(5):273-276. doi: 10.1097/ICL.0000000000000120.

Tey KY, Tan SY, Ting DSJ, Mehta JS, Ang M. Effects of combined cataract surgery on outcomes of Descemet's membrane endothelial keratoplasty: A systematic review and meta-analysis. Front Med. 2022;9:857200. doi: 10.3389/fmed.2022.857200.

Busted N, Olsen T, Schmitz O. Clinical observations on the corneal thickness and the corneal endothelium in diabetes mellitus. Br J Ophthalmol. 1981;65(10):687-690. doi: 10.1136/bjo.65.10.687.

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Published

2024-10-10

How to Cite

Abbas, F. M., Kareem, A. A., Hado, W. M., & Ahmed, H. M. (2024). Incidence of Descemet Membrane Detachment after Phacoemulsification Cataract Surgery in a Sample of Iraqi Patients at Ibn Al-Haitham Teaching Eye Hospital. Al-Rafidain Journal of Medical Sciences ( ISSN 2789-3219 ), 7(2), 15–20. https://doi.org/10.54133/ajms.v7i2.1317

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