Descemet-s membrane detachment in horses - case series and literature review
Fonte: Marian Matas Riera, David Donaldson and Simon Lawrence Priestnall
Intraoperative picture of case 4 shows a magni?ed picture showing folds of the Descemets membrane (white arrows) adjacent to the corneal incision
The aim of this article was to describe Descemet-s membrane detachment (DMD) following phacoemulsification in equine eyes and to review the human literature on this topic. In the last decade, there has been increased reporting of DMD in the human literature, in particular following cataract surgery. The natural history of DMD remains unknown and although various medical and surgical treatments have been advocated there is no recognized gold standard treatment for DMD. This case series reports the diagnosis of DMD in four horses (5 eyes) in association with phacoemulsication surgery. The diagnosis of DMD in these patients was made intraoperatively, postoperatively or on subsequent histopathological examination. The surgical reports, photographic or video recordings, and ultrasound data were evaluated and possible factors associated with the pathophysiology of DMD are discussed. This is the first description of DMD in the veterinary literature, and the authors believe that DMD might hitherto have been overlooked in veterinary ophthalmology due to a lack of awareness of the condition. The possible causes, clinical signs, and treatment of DMD as described in the human literature are also reviewed.