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

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

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Traumatic Descemet's membrane breaks

Photo by Professor Chua Chung Nen

This patient was referred because of decreased left vision. The right eye had had phacoemulsification and implant 1 year ago in a private centre. The vision measured 6/12 RE unaided and 6/36 LE. The pupil dilatation in both eyes was poor. Slit-lamp examination showed iris atrophy from previous surgery and Descemet's membrane breaks were observed in the right eye. The IOP was normal. The breaks were most likely to occur as a result of a complicated cataract surgery.

 

Multiple descemet breaks.

 

Close up view of the breaks.

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