Supra-descemet's fluid drainage with simultaneous air injection: an alternative treatment for descemet's membrane detachment

ABSTRACT

In this report, we present an alternative technique to manage Descemet's membrane detachment [DMD]. We call the technique supra-Descemet's fluid drainage with intracameral air injection. Under topical anesthesia, we injected air through the stab incision to fill 2/3 of the anterior chamber. Then we inserted the tip of a curved 10/0 needle through the corneal surface [entry angle at 45 degrees] into the supra-Descemet's area 3 times to drain this fluid. In our method, we neither injected expanding gas or viscoelastic nor used a suture. Consequently, there was little chance for suture-induced astigmatism or increased intraocular pressure. This technique may be considered a relatively safe and simple surgical method for the management of postoperative DMD