Intraoperative Descemet’s detachment after the lens capsule is opened but before complete extraction of the nucleus/cortex can be challenging.
Aborting surgery can cause severe phacoantigenic uveitis whereas continuing with surgery risks extension and/or avulsion of the detached Descemet’s membrane (DM). Jacob described a technique that we termed as air-assisted cataract extraction (ACE) for managing such a situation.
This technique was first used in a 45-year-old patient who had presented with a white cataract, extensive circumferential peripheral anterior synechiae, elevated IOP,