DR. PREETHI S. (P11920)

Abstract

DESCEMETS MEMBRANE DETACHMENT (DMD) IS A COMPLICATION MOST COMMONLY ENCOUNTERED WITH CATARACT SURGERY .PRIMARY RISK FACTORS INCLUDE ADVANCED AGE, DENSE ARCUS WHERE VISIBILITY IS POOR,PROLONGED SURGICAL TIME, EXCESS MANIPULATION ,IATROGENIC TRAUMA WITH INSTRUMENTS.THERE ARE VARIOUS METHODS OF CLASSIFYING DMD.ANTERIOR SEGMENT OCT PLAYS A VITAL ROLE IN DIAGNOSIS ,CONFIRMATION AND DECIDING COURSE OF MANAGEMENT .DMDS WHICH ARE SMALL AND AWAY FROM VISUAL AXIS TEND TO RESOLVE SPONTANEOUSLY WITH MEDICAL MANAGEMENT WHILE LARGE CENTRAL DETACHMENTS NEED SURGICAL INTERVENTION.IF NOT MANAGED PROPERLY A DETACHMENT CAN OFTEN LEAD TO ENDOTHELIAL DECOMPENSATION WHICH EVENTUALLY NEEDS A TRANSPLANT FOR VISUAL REHABILITATION .DESCEMATOPEXY REMAINS A GOLD STANDARD IN MANAGEMENT OF DMD.OTHER MANAGEMENT OPTIONS INCLUDE SUTURE FIXATION ,INTERFACE FLUID DRAINAGE AND FINALLY SURGICAL OPTIONS LIKE DMEK/PDEK.

PROMPT DIAGNOSIS AND TIMELY MANAGEMENT OFTEN LEADS TO A GOOD VISUAL OUTCOME

1	DESCEMET’S MEMBRANE DETACHMENT- RISK FACTORS, ETIOPATHOGENESIS , CLASSIFICATION (10 mins)	DR. RANJITHA RAJAGOPALAN	watch video
2	MEDICAL MANAGEMENT AND DESCEMETOPEXY (15 mins)	Dr.DR. SUMATHI A.	watch video
3	SURGICAL MANAGEMENT – DMEK,PDEK (15 mins)	DR. PREETHI S.	watch video
	Panel Discussion : (15 mins.)