Role of anterior segment optical coherence tomogram in Descemet′s membrane detachment

Abstract

Descemet′s membrane detachment (DD) is a rare but serious complication of intraocular surgery. In rare cases where corneal edema is severe and we may not be able to visualize DD on slit-lamp examination, anterior segment optical coherence tomogram (AS-OCT) would be helpful. We describe two patients with DD, highlighting the role of AS-OCT in early diagnosis and management of patients with DD. One of the patients had DD with rolled in edge, which could only be visualized with AS-OCT. In such a situation, AS-OCT can identify the edge of detachment and show the exact position of the rolled edge, which can allow us to plan the surgical strategy to unroll the DD.

Keywords

• Lymphoma
• mucosa-associated lymphoid tissue
• radiotherapy
• Boston ocular surface prosthesis
• India
• keratoconus
• scleral contact lens
• Stevens-Johnson syndrome
• Laser in-situ keratomileusis
• post-radial keratotomy laser in-situ keratomileusis
• radial keratotomy
• Cataract
• erythrocytes
• galactose
• glutathione
• lens
• Keratitis
• keratomycosis
• nonpigmented fungi
• outcomes
• pigmented fungi
• Angiotensin-converting enzyme
• antinuclear antibody
• laboratory investigation
• retinal vasculitis
• Anterior segment optical coherence tomogram
• corneal edema
• Descemet′s membrane detachment
• intraocular surgery