Descemet Membrane Folds Treatment & Management
- Author: Robert H Graham, MD; Chief Editor: Hampton Roy Sr, MD more...
Medical Care
Treat the underlying cause of inflammation and reduce the inflammation using steroidal, nonsteroidal, and osmotic agents.
Surgical Care
Penetrating keratoplasty is available if the corneal edema overlying the Descemet folds does not resolve.[4]
Posterior lamellar keratoplasty is another technique that may be helpful in eyes with unresponsive corneal edema.
Persistent corneal edema causing painful symptoms in an eye with poor visual function also can be treated with anterior stromal micropuncture, excimer laser phototherapeutic keratectomy (PTK), amniotic membrane graft, or a conjunctival flap.[5] See the image below.
Descemet membrane folds after surgery. Consultations
A consultation with a cornea specialist can be considered if the patient does not improve with identification and medical treatment of the underlying condition.
Diet
No diet restrictions or recommendations exist.
American Academy of Ophthalmology. External disease and cornea. In: Basic and Clinical Science Course, Section 8. 2006-2007.
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Espana EM, Huang B. Confocal microscopy study of donor-recipient interface after Descemet's stripping with endothelial keratoplasty. Br J Ophthalmol. Jul 2010;94(7):903-8. [Medline].
Dirisamer M, van Dijk K, Dapena I, Ham L, Oganesyan O, Frank LE, et al. Prevention and Management of Graft Detachment in Descemet Membrane Endothelial Keratoplasty. Arch Ophthalmol. Nov 14 2011;[Medline].
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Scuderi B, Driussi GB, Chizzolini M, Salvetat ML, Beltrame G. Effectiveness and tolerance of piroxicam 0.5% and diclofenac sodium 0.1% in controlling inflammation after cataract surgery. Eur J Ophthalmol. Jul 2003;13(6):536-40. [Medline].
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