{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:36:19Z","timestamp":1786649779724,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2023,5,1]],"date-time":"2023-05-01T00:00:00Z","timestamp":1682899200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:p>A 62-year-old woman was referred with poor vision following manual small incision cataract surgery. On presentation, the uncorrected distance visual acuity in the involved eye was 3\/60, whereas slit-lamp examination revealed a central corneal edema with the peripheral cornea relatively clear. Direct focal examination with a narrow slit upper border and lower margin of detached rolled up Descemet\u2019s membrane (DM) could be visualized. We performed a novel surgical approach, \u201cdouble-bubble pneumo-descemetopexy.\u201d The surgical procedure included unrolling of DM with \u201csmall air bubble\u201d and descemetopexy with \u201cbig bubble.\u201d No postoperative complications were observed, and best corrected distance visual acuity improved to 6\/9 at 6 weeks. The patient had a clear cornea and maintained BCVA 6\/9 during 18 months at follow-up. Double-bubble pneumo-descemetopexy, a more controlled technique, provides a satisfactory anatomical and visual outcome in DMD without the need for endothelial keratoplasty (Descemet\u2019s stripping endothelial keratoplasty or DMEK) or penetrating keratoplasty.<\/jats:p>","DOI":"10.4103\/ijo.ijo_1623_22","type":"journal-article","created":{"date-parts":[[2023,5,17]],"date-time":"2023-05-17T03:36:30Z","timestamp":1684294590000},"page":"2234-2236","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Double bubble pneumo-descemetopexy for the management of Descemet membrane detachment: An innovative technique"],"prefix":"10.4103","volume":"71","author":[{"given":"Ashok","family":"Sharma","sequence":"first","affiliation":[{"name":"Director, Cornea Service, Dr Ashok Sharma\u2019s Cornea Centre, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajan","family":"Sharma","sequence":"additional","affiliation":[{"name":"Cornea Service, Cornea Service, Dr Ashok Sharma\u2019s Cornea Centre, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashish","family":"Kulshreshta","sequence":"additional","affiliation":[{"name":"Associate, Cornea Service, Dr Ashok Sharma\u2019s Cornea Centre, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Verinder S","family":"Nirankari","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University of Maryland, College Park, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,5,17]]},"reference":[{"key":"R1-20251006","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1016\/j.survophthal.2019.12.006","article-title":"Descemet membrane 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