Spontaneous Simultaneous Bilateral Late-onset Descemet’s Membrane Detachment after Uneventful Cataract Surgery.

ABSTRACT

We report the case of a 76-year-old woman who presented to us with bilateral simultaneous Descemet’s membrane detachment (DMD) after successful uneventful cataract surgery of both eyes in the late post-operative period. The first eye was operated 1-week prior to the second eye. We shall also discuss different hypothesis of an underlying predisposition to DMD and in our case the possible role of a thick arcus senilis in the etiology of DMD. Surgical intervention with 14% octafluoropropane (C3F8) gas injection in the anterior chamber resulted in excellent visual acuity restoration in the patient.