A 69-year-old female presented with nonresolving corneal edema post an uncomplicated small incision cataract surgery, a diagnosis of Descemet membrane detachment Figure 1 was made, for which the patient underwent SF6 injection.[1,2]
Figure 1.
Clinical picture 1 week postoperatively
On repeat clinical examination, a refractile membrane attached to the posterior surface of the cornea was seen, with the anterior-segment optical-coherence-tomography revealing an intact Descemet membrane Figure 2 and a separate membrane extending from the posterior surface of the cornea overlying the iris Figure 3. Following this, the patient underwent membranectomy, with a remarkable improvement in visual acuity from the hand movement close to face preoperatively to best-corrected visual acuity of 20/40. On the basis of histopathological examination, a retained anterior capsule Figure 4 of the lens was diagnosed.
Figure 2.
Anterior-segment optical-coherence-tomography picture showing intact Descemet's membrane
Figure 3.
Anterior-segment optical-coherence-tomography image showing a hyperreflective membrane (A) attached to the posterior surface of cornea (B); (C - Iris)
Figure 4.
Histopathological examination suggestive of remanent of anterior capsule of lens
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The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
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Conflicts of interest
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References
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