Paper Information

Journal:   JOURNAL OF OPHTHALMIC AND VISION RESEARCH   2016 , Volume 11 , Number 2; Page(s) 168 To 173.
 
Paper: 

OUTCOMES OF DESCEMETOPEXY WITH ISOEXPANSILE PERFLUOROPROPANE AFTER CATARACT SURGERY

 
DOI: 

10.4103/2008-322X.183932

 
Author(s):  GARG JYOTI, MATHUR UMANG*, ACHARYA MANISHA CHABHRA, CHAUHAN LOKESH
 
* DR. SHROFF’S CHARITY EYE HOSPITAL, KEDAR NATH ROAD, DARYAGANJ, NEW DELHI ? 110 002, INDIA
 
Abstract: 

Purpose: To report the indications, anatomical outcomes, functional outcomes and limitations of descemetopexy with intracameral injection of isoexpansile perfluoropropane (14% C3F8) in eyes with Descemet’s membrane (DM) detachment after cataract surgery.
Methods: This retrospective non?comparative interventional case series included 67 eyes of 67 patients who underwent descemetopexy at a tertiary eye hospital. The procedure consisted of descemet’s membrane reattachment by injecting isoexpansile perfluoropropane (14% C3F8)intracamerally. Outcome measures were reattachment of DM, improvement in visual acuity, resolution of corneal edema, causes for failure of DM reattachment and complications.
Results: Sixty?seven eyes of 74 patients were analyzed. Phacoemulsification (56.71%) had the highest DM detachment as compared to manual SICS in 19 (28.36%) and ECCE in 10 (14.93%) eyes. Descemetopexy with 14% C3F8 resulted in anatomical reattachment of DM in 71.64% and functional improvement in visual acuity in 74.63% of treated eyes. The location and the extent of DM detachment did not influence DM reattachment.
Complete reattachment of DM occurred in all 26 eyes (100%) with planar type detachments, whereas with non?planar type detachments only 22 eyes (53.7%) achieved complete reattachment.
Conclusion: Descemetopexy with isoexpansile perfluoropropane offers good surgical outcomes regarding visual acuity and resolution of corneal edema.

 
Keyword(s): DESCEMET’S MEMBRANE DETACHMENT, DESCEMETOPEXY, ISOEXPANSILE PERFLUOROPROPANE
 
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