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Descemet Membrane Detachment After Heavy Silicone Oil Removal From the Anterior Chamber

Kymionis, George D. MD, PhD*,†; Tsoulnaras, Konstantinos I. MD*; Xanthopoulou, Niki A. MD*; Klados, Nektarios E. MD*; Tsilimbaris, Miltiadis K. MD, PhD*

doi: 10.1097/ICO.0000000000000056
Case Report

Purpose: The aim of this study was to report a case of a central Descemet membrane detachment after heavy silicone oil removal from the anterior chamber.

Methods: This is a case report of a patient operated with scleral buckling and heavy silicone oil implantation for recurrent retinal detachment. In the patient’s follow-up examination, silicone oil was found to completely fill the anterior chamber. He underwent silicone extraction through a paracentesis from the anterior chamber. Immediately after the surgery, a central Descemet membrane detachment combined with corneal edema was identified on slit-lamp examination, and confirmed by anterior segment optical coherence tomography. The detached Descemet membrane was tamponaded successfully with the air bubble injection technique.

Results: Four days later, the patient's cornea appeared to be clear, and the Descemet membrane was found to be attached to the corneal stroma with no presence of silicone oil in the anterior chamber.

Conclusions: Descemet membrane detachment is a possible and rare complication that occurs after heavy silicone oil removal from the anterior chamber.

*Department of Ophthalmology, Vardinoyiannion Eye Institute of Crete (VEIC), Faculty of Medicine, University of Crete, Heraklion, Crete, Greece; and

Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami, Miami, FL.

Reprints: George D. Kymionis, Faculty of Medicine, Vardinoyiannion Eye Institute of Crete (VEIC), University of Crete, Heraklion 71003, Crete, Greece (e-mail: kymionis@med.uoc.gr).

The authors have no funding or conflicts of interest to disclose.

Received October 29, 2013

Accepted November 19, 2013

© 2014 by Lippincott Williams & Wilkins.