Descemet Membrane Folds Treatment & Management

Updated: Apr 30, 2021
  • Author: Robert H Graham, MD; Chief Editor: Hampton Roy, Sr, MD  more...
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Treatment

Medical Care

Treat the underlying cause of inflammation and reduce the inflammation using steroidal, nonsteroidal, and osmotic agents.

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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]  

Descemet membrane folds after surgery. Descemet membrane folds after surgery.
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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.

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Diet

No diet restrictions or recommendations exist.

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Activity

Activity is only limited by the visual limitations.

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