Descemetopexy with Corneal Venting Incisions for Descemet Membrane Detachment after Cataract Surgery

A bstract Background: The management of Descemet’s detachment with air descemetopexy is a known and reported technique. The use of venting incisions allows the trapped pre-Descemet’s fluid to be released, enhancing the success rates of descemetopexy and allowing early visual rehabilitation. Purpose: To analyze the outcomes of post-cataract surgery descemetopexy for Descemet membrane detachment using intracameral air injection and venting incisions. Setting: Tertiary care eye center in Mumbai. Design: Observational case series. Materials and Methods: The clinical data of 21 patients who underwent descemetopexy with air or gas and venting incisions for Descemet’s membrane detachment after cataract surgery were reviewed. Results: The average age of the patients in the series was 68.43 ± 9.75 years (range, 52–85 years). A total of 11 patients had undergone small incision cataract surgery (SICS), nine phacoemulsification, and one had undergone phacoemulsification with vitrectomy. Preoperative visual acuity was log of minimum angle of resolution (LogMAR) 1.54 ± 0.66, which improved to 0.76 ± 0.49 LogMAR at the end of 1 month. Anterior segment optical coherence tomography revealed a central attachment of the Descemet’s membrane in 18 of the 21 patients (85.71%), with a small peripheral detachment in three patients. Conclusion: Descemetopexy with venting incisions is a safe and effective option in the management of Descemet’s detachment after cataract surgery.