Yıl: 2023 Cilt: 5 Sayı: 1 Sayfa Aralığı: 218 - 221 Metin Dili: İngilizce DOI: 10.5152/ABCR.2023.220818 İndeks Tarihi: 04-06-2023

Intracameral Sulfur Hexafluoride Gas Injection and Descemet Membrane Endothelial Keratoplasty for Treatment of Descemet Membrane Detachment After Phacoemulsification Surgery

Öz:
The aim of this study is to present a case series of 4 patients with Descemet membrane detachment after cataract surgery. Reattachment was achieved in 3 of 4 cases (75%) with a single intracameral sulfur hexafluoride injection. Case 4 had a long- term Descemet membrane detachment that was adherent to other anterior segment structures and thus unresponsive to repetitive intracameral gas injections. Therefore, a successful Descemet membrane endothelial keratoplasty was performed on this patient. A 10% sulfur hexafluoride injection seems to be a safe and effective method for uncomplicated Descemet membrane detachment; however, Descemet membrane endo- thelial keratoplasty surgery should be favored in complicated cases unresponsive to intracameral injections.
Anahtar Kelime:

Fakoemülsifikasyon Cerrahisi Sonrası Desme Membranı Dekolmanı Tedavisinde Intrakameral Sülfür Hekzaflorür ve Desme Membran Endotelyal Keratoplasti Uygulaması

Öz:
Bu çalışmanın amacı, katarakt cerrahisi sonrası Desme membranı dekolmanı gelişen 4 hastadan oluşan bir vaka serisi sunmaktır. 4 vakanın 3’ünde (%75) tek doz intrakameral sülfür hekzaflorür enjeksiyonu ile yeniden yapışma sağlanmıştır. Olgu 4’te diğer ön segment yapılarına yapışmış ve bu nedenle tekrarlayan intraka- meral gaz enjeksiyonlarına yanıt vermeyen uzun süreli Desme membranı dekolmanı vardı. Bu nedenle bu hastaya başarılı bir şekilde Desme membran endotelyal keratoplasti cerrahisi uygu- lanmıştır. %10 sülfür hekzaflorür enjeksiyonu, komplike olmayan Desme membranı dekolmanı için güvenli ve etkili bir yöntem gibi görünmektedir; ancak intrakameral enjeksiyonlara yanıt verme- yen komplike olgularda Desme membran endotelyal keratoplasti ameliyatı tercih edilmelidir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Marcon AS, Rapuano CJ, Jones MR, Laibson PR, Cohen EJ. Descemet’s membrane detachment after cataract surgery: management and outcome. Ophthalmology. 2002;109(12): 2325-2330. [CrossRef]
  • 2. Patel DV, Phang KL, Grupcheva CN, Best SJ, McGhee CNJ. Surgical detachment of Descemet’s membrane and endothelium imaged over time by in vivo confocal micros- copy. Clin Exp Ophthalmol. 2004;32(5):539-542.[CrossRef]
  • 3. Mahmood MA, Teichmann KD, Tomey KF, Al-Rashed D. Detachment of Descemet’s membrane. J Cataract Refract Surg. 1998;24(6):827-833. [CrossRef]
  • 4. Saeed MU, Singh AJ, Morrell AJ. Sequential Descemet’s membrane detachments and intraocular lens haze second- ary to SF6 or C3F8. Eur J Ophthalmol. 2006;16(5):758-760. [CrossRef]
  • 5. Landry H, Aminian A, Hoffart L, et al. Corneal endothelial toxicity of air and SF6. Invest Ophthalmol Vis Sci. 2011;52(5):2279-2286. [CrossRef]
  • 6. Jacob S, Agarwal A, Chaudhry P, Narasimhan S, Chaudhry VN. A new clinico-tomographic classification and management algorithm for Descemet’s membrane detachment. Cont Lens Anterior Eye. 2015;38(5):327-333. [CrossRef]
  • 7. Kim JJ, Kim HK. Descemet membrane stripping endothelial keratoplasty for Descemet membrane detachment follow- ing phacoemulsification. Can J Ophthalmol. 2015;50(1): 73-76. [CrossRef]
  • 8. Kumar DA, Agarwal A, Sivanganam S, Chandrasekar R. Height-, extent-, length-, and pupil-based (HELP) algorithm to manage postphacoemulsification Descemet membrane detachment. J Cataract Refract Surg. 2015;41(9):1945- 1953. [CrossRef]
  • 9. Moutsouris K, Dapena I, Ham L, Balachandran C, Oellerich S, Melles GR. Optical coherence tomography, Scheimpflug imaging, and slit-lamp biomicroscopy in the early detection of graft detachment After Descemet membrane endothelial keratoplasty. Cornea. 2011;30(12):1369-1375. [CrossRef]
APA BAYRAKCEKEN K, Aydin B (2023). Intracameral Sulfur Hexafluoride Gas Injection and Descemet Membrane Endothelial Keratoplasty for Treatment of Descemet Membrane Detachment After Phacoemulsification Surgery. , 218 - 221. 10.5152/ABCR.2023.220818
Chicago BAYRAKCEKEN KEMAL,Aydin Bahri Intracameral Sulfur Hexafluoride Gas Injection and Descemet Membrane Endothelial Keratoplasty for Treatment of Descemet Membrane Detachment After Phacoemulsification Surgery. (2023): 218 - 221. 10.5152/ABCR.2023.220818
MLA BAYRAKCEKEN KEMAL,Aydin Bahri Intracameral Sulfur Hexafluoride Gas Injection and Descemet Membrane Endothelial Keratoplasty for Treatment of Descemet Membrane Detachment After Phacoemulsification Surgery. , 2023, ss.218 - 221. 10.5152/ABCR.2023.220818
AMA BAYRAKCEKEN K,Aydin B Intracameral Sulfur Hexafluoride Gas Injection and Descemet Membrane Endothelial Keratoplasty for Treatment of Descemet Membrane Detachment After Phacoemulsification Surgery. . 2023; 218 - 221. 10.5152/ABCR.2023.220818
Vancouver BAYRAKCEKEN K,Aydin B Intracameral Sulfur Hexafluoride Gas Injection and Descemet Membrane Endothelial Keratoplasty for Treatment of Descemet Membrane Detachment After Phacoemulsification Surgery. . 2023; 218 - 221. 10.5152/ABCR.2023.220818
IEEE BAYRAKCEKEN K,Aydin B "Intracameral Sulfur Hexafluoride Gas Injection and Descemet Membrane Endothelial Keratoplasty for Treatment of Descemet Membrane Detachment After Phacoemulsification Surgery." , ss.218 - 221, 2023. 10.5152/ABCR.2023.220818
ISNAD BAYRAKCEKEN, KEMAL - Aydin, Bahri. "Intracameral Sulfur Hexafluoride Gas Injection and Descemet Membrane Endothelial Keratoplasty for Treatment of Descemet Membrane Detachment After Phacoemulsification Surgery". (2023), 218-221. https://doi.org/10.5152/ABCR.2023.220818
APA BAYRAKCEKEN K, Aydin B (2023). Intracameral Sulfur Hexafluoride Gas Injection and Descemet Membrane Endothelial Keratoplasty for Treatment of Descemet Membrane Detachment After Phacoemulsification Surgery. Archives of Basic and Clinical Research, 5(1), 218 - 221. 10.5152/ABCR.2023.220818
Chicago BAYRAKCEKEN KEMAL,Aydin Bahri Intracameral Sulfur Hexafluoride Gas Injection and Descemet Membrane Endothelial Keratoplasty for Treatment of Descemet Membrane Detachment After Phacoemulsification Surgery. Archives of Basic and Clinical Research 5, no.1 (2023): 218 - 221. 10.5152/ABCR.2023.220818
MLA BAYRAKCEKEN KEMAL,Aydin Bahri Intracameral Sulfur Hexafluoride Gas Injection and Descemet Membrane Endothelial Keratoplasty for Treatment of Descemet Membrane Detachment After Phacoemulsification Surgery. Archives of Basic and Clinical Research, vol.5, no.1, 2023, ss.218 - 221. 10.5152/ABCR.2023.220818
AMA BAYRAKCEKEN K,Aydin B Intracameral Sulfur Hexafluoride Gas Injection and Descemet Membrane Endothelial Keratoplasty for Treatment of Descemet Membrane Detachment After Phacoemulsification Surgery. Archives of Basic and Clinical Research. 2023; 5(1): 218 - 221. 10.5152/ABCR.2023.220818
Vancouver BAYRAKCEKEN K,Aydin B Intracameral Sulfur Hexafluoride Gas Injection and Descemet Membrane Endothelial Keratoplasty for Treatment of Descemet Membrane Detachment After Phacoemulsification Surgery. Archives of Basic and Clinical Research. 2023; 5(1): 218 - 221. 10.5152/ABCR.2023.220818
IEEE BAYRAKCEKEN K,Aydin B "Intracameral Sulfur Hexafluoride Gas Injection and Descemet Membrane Endothelial Keratoplasty for Treatment of Descemet Membrane Detachment After Phacoemulsification Surgery." Archives of Basic and Clinical Research, 5, ss.218 - 221, 2023. 10.5152/ABCR.2023.220818
ISNAD BAYRAKCEKEN, KEMAL - Aydin, Bahri. "Intracameral Sulfur Hexafluoride Gas Injection and Descemet Membrane Endothelial Keratoplasty for Treatment of Descemet Membrane Detachment After Phacoemulsification Surgery". Archives of Basic and Clinical Research 5/1 (2023), 218-221. https://doi.org/10.5152/ABCR.2023.220818