Outcomes of descemetopexy with isoexpansile perfluoropropane after cataract surgery

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-comparat...

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Main Authors: Jyoti Garg, Umang Mathur, Manisha Chabhra Acharya, Lokesh Chauhan
Format: Article
Language:English
Published: Knowledge E 2016-01-01
Series:Journal of Ophthalmic & Vision Research
Subjects:
Online Access:http://www.jovr.org/article.asp?issn=2008-322X;year=2016;volume=11;issue=2;spage=168;epage=173;aulast=Garg
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author Jyoti Garg
Umang Mathur
Manisha Chabhra Acharya
Lokesh Chauhan
author_facet Jyoti Garg
Umang Mathur
Manisha Chabhra Acharya
Lokesh Chauhan
author_sort Jyoti Garg
collection DOAJ
description 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.
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spelling doaj.art-e5e414a918ad47ff86029a1d4a23b48c2022-12-22T03:27:14ZengKnowledge EJournal of Ophthalmic & Vision Research2008-322X2016-01-0111216817310.4103/2008-322X.183932Outcomes of descemetopexy with isoexpansile perfluoropropane after cataract surgeryJyoti GargUmang MathurManisha Chabhra AcharyaLokesh ChauhanPurpose: 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.http://www.jovr.org/article.asp?issn=2008-322X;year=2016;volume=11;issue=2;spage=168;epage=173;aulast=GargDescemet's Membrane Detachment; Descemetopexy; Isoexpansile Perfluoropropane
spellingShingle Jyoti Garg
Umang Mathur
Manisha Chabhra Acharya
Lokesh Chauhan
Outcomes of descemetopexy with isoexpansile perfluoropropane after cataract surgery
Journal of Ophthalmic & Vision Research
Descemet's Membrane Detachment; Descemetopexy; Isoexpansile Perfluoropropane
title Outcomes of descemetopexy with isoexpansile perfluoropropane after cataract surgery
title_full Outcomes of descemetopexy with isoexpansile perfluoropropane after cataract surgery
title_fullStr Outcomes of descemetopexy with isoexpansile perfluoropropane after cataract surgery
title_full_unstemmed Outcomes of descemetopexy with isoexpansile perfluoropropane after cataract surgery
title_short Outcomes of descemetopexy with isoexpansile perfluoropropane after cataract surgery
title_sort outcomes of descemetopexy with isoexpansile perfluoropropane after cataract surgery
topic Descemet's Membrane Detachment; Descemetopexy; Isoexpansile Perfluoropropane
url http://www.jovr.org/article.asp?issn=2008-322X;year=2016;volume=11;issue=2;spage=168;epage=173;aulast=Garg
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