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

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

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Iatrogenic stripping of the descemet membrane

Photo by Professor Chua chung Nen

This 75 year-old underwent a difficult left phacoemulsification and implant because of poor surgical view from pterygium and arcus cornealis. Post-operatively, he developed corneal oedema secondary to descemet membrane strip. Attempt to reposition the membrane was unsuccessful and at the last follow-up, the membrane could be seen wrinkled up at the temporal side of the anterior chamber. A penetrating keratoplasty is now arranged to restore the corneal clearity.

 

Corneal oedema secondary to iatrogenic stripping of the descemet membrane.

 

Close-up view of the descemet membrane.

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