The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Descemet membrane folds

Photo by Professor Chua Chung Nen

This 64 year-old man underwent phacoemulsification and implant. During the stage of irrigation and aspiration, fluid entered the stroma through a small descemet tear at the entry site causing the descemet membrane to become separated from the deep stroma. An air bubble was injected at the end of the surgery to aid reattachment of the descemet membrane.

 

Air bubble in the anterior chamber. The iris atrophy at the 1 O'clock position resulted

from iris prolapse during the surgery (the patient was diabetic and had floppy iris).

 

Radial descemet folds at the inferior cornea.

 

Radial descemet folds at the inferior cornea.

 

Descemet folds with fluid between the deep stroma and the descemet membrane.

 

Another view of the descemet folds.

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