Dr.Prathama Sarkar

Dr. HARISH CHANDAR GANDHI

Abstract

We are reporting an interesting case of anterior capsule getting stuck to endothelium mimicking descemet’s membrane detachment post-cataract surgery. A-60 year lady underwent cataract surgery. On post-op day 1 stromal edema was present in superior quadrant reaching up to superior border of pupil. Patient was conservatively treated for DMD. 1-week later, on slit-lamp examination, a refractile membrane with a well-defined margin was seen closely adhered to endothelium. UBM showed a separate membrane almost clinging to endothelium, but no detachment of descent’s membrane was identified. Hence, what was assumed to be DMD, turned out to be a retained anterior capsule. After removal, corneal edema subsided within a week with BCVA 6/9. Though DMD remains one of the commonest causes of persistent corneal edema post-cataract surgery, it is important to look for other causes too. With imaging modalities like AS-OCT and UBM, detection of pathology causing post-op corneal edema has become easier.