A new surgical technique the ‘rolling-bud’ manoeuvre for descemet’s membrane detachment

Abstract

Descemet membrane detachment (DMD) is a rare but known complication of cataract surgery. On 1st postoperative day, a relatively prominent corneal edema in superior half of cornea helps in the recognition of this treatable situation. Anterior segment optical coherence tomography (AS-OCT) can detect and quantitatively monitor the reduction of corneal edema along with valuable documentation. The authors used intracameral C3F8 (14%) along with the ‘rolling-bud’ manoeuvre which helped in successful reattachment of DMD. We hereby describe this innovative manoeuvre which can accelerate the recovery of corneal edema in a patient with post phacoemulsification DMD.