VT12 : Double delight: Double Descemet membrane, double anterior chamber and double rhexis

Dr.VIJAY KUMAR SHARMA, Dr.Santosh Kumar, DR.SHRUTI SINHA

This patient underwent optical penetrating keratoplasty 08 months back. When reported for follow up at six months, her visual acuity had dropped to HMCF and she was found to have double anterior chamber separated by a descemet membrane bridging across the anterior chamber dividing it in to two parts. This was host descemet membrane which was left back during optical penetrating keratoplasty. The descemet membrane of the donor cornea was intact and cornea was clear. Patient had developed total cataract. A descematorhexic was done and second rhexis i.e continuous curvilinear capsulorhexis was done to remove the cataract after implanting malyugen ring as patient had developed posterior synechiae. Final uncorrected visual acuity of 20/80 was achieved after cataract surgery.