Purpose: This article reports a case of unintended excision of Descemet's membrane (DM) during a routine cataract extraction (CE), which was successfully treated by Desecemet membrane endothelial keratoplasty (DMEK).
Material and methods: During routine CE of a 91-year old male patient the DM was almost completely detached and excised.
Results: The DMEK was successfully performed, the cornea cleared and visual acuity increased from cc 0.02 to cc 0.8.
Conclusion: Unintended excision of DM can be successfully treated by DMEK at short notice.
Keywords: Cataract excision; Corneal decompensation; Corneal endothelium; Descemet membrane detachment; Operative complications.