Case Report: "Spontaneous Descemet Membrane Detachment"

• Published in: Journal of clinical medicine 2022, Vol.12 (1)
• Main Authors: Moramarco, Antonio, Iannetta, Danilo, Cimino, Luca, Romano, Vito, Gardini, Lorenzo, Fontana, Luigi
• Format: Report
• Language: English
• ISSN: 2077-0383; 2077-0383
• DOI: 10.3390/jcm12010330

INTRODUCTIONWe report a case and discuss the clinical characteristics and treatment of spontaneous Descemet membrane detachment (DMD). CASE DESCRIPTIONWe describe a rare case of spontaneous DMD in a patient with prior anterior uveitis and provide a review of the current literature. A 20-year-old woman with a prior history of anterior uveitis presented with vision loss in the left eye. The slit-lamp examination showed corneal edema secondary to DMD, confirmed by anterior segment optical coherence tomography (AS-OCT). The patient underwent an intracameral injection of 20% sulphur hexafluoride (SF6) with complete resolution of the DMD. Although rare, several cases of spontaneous DMD have been reported in the literature, mostly occurring after intraocular surgery. We searched the Pubmed database (1949-2021) for peer-reviewed publications relevant to the topic of spontaneous DMD. DISCUSSIONThe pathogenesis of spontaneous DMD is complex and depends on several factors. It can occur due to anatomical anomalies, inflammatory disease, trauma, chemical injuries, and surgical or laser procedures. In most cases, early diagnosis and appropriate management led to resolution.