Descemet’s membrane detachment post laser iridotomy

Descemet’s membrane detachment (DMD) following laser procedures, such as Neodymium:Yttrium-Aluminum-Garnet (Nd:YAG) capsulotomy and laser peripheral iridotomy (LPI), is an extremely rare complication. We report a case of a 63-year-old woman who presented for routine follow-up, found to have raised intraocular pressure in the left eye with a shallow anterior chamber and narrow angles in gonioscopy. An Nd:YAG LPI done gave rise to a DMD following procedure. Given the rarity of DMD following LPI, one should be aware of the rare possibility of this complication, particularly in eyes with predisposing factors like shallow anterior chambers, pseudo exfoliation, and also old healed keratitis.