Descemet’s membrane is very delicate and it can become detached during surgery. The usual entry site is from one of our incisions where our instruments can catch the edge of Descemet’s layer and cause a small focal detachment. But what would happen if your infusion instrument from bimanual I/A forced balanced salt solution above Descemet’s membrane? The answer is that you would get a large detachment in just one second. Now how do you fix it? If you want to use a gas bubble, how much fill? Which gas, air, SF6, or C3F8? And what mixture of gasses? This video explains it very well.
click to learn how to rescue this huge descemet’s membrane detachment: