title: Retrocorneal membrane with Descemet's detachment.
abstract: OBJECTIVE
  To describe a unique case of retrocorneal membrane with large Descemet's detachment.
  
  
  METHODS
  Case report of a 65-year-old man reported intermittent cloudy vision in his left eye. The patient underwent serial ocular examinations and slit-lamp photography over 6 weeks.
  
  
  RESULTS
  The patient had an inflammatory-appearing membrane that covered 60% of the posterior cornea, with a subtotal Descemet's detachment. Vision was stable at 20/20, and the cornea remained clear. The patient was empirically treated with topical neomycin/polymyxin/dexamethasone, sodium chloride, and oral acyclovir, and his symptoms improved; however, the retrocorneal membrane persisted.
  
  
  CONCLUSIONS
  This unusual clinical finding may represent reduplicated Descemet's membrane with partial Descemet's detachment secondary to occult deep herpes simplex keratitis. Other possibilities include spontaneous or traumatic Descemet's tear and detachment.
authors.affiliation: Department of Ophthalmology, University of California Irvine, Irvine, CA 92697, U.S.A.
authors.forename: R
authors.initials: R
authors.lastname: Banik
authors.forename: L H
authors.initials: LH
authors.lastname: Novick
authors.forename: R E
authors.initials: RE
authors.lastname: Smith
authors.forename: R S
authors.initials: RS
authors.lastname: Chuck
mesh_terms: D000212:Acyclovir / Q000627:therapeutic use; D000368:Aged; D003316:Corneal Diseases / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D003886:Descemet Membrane / Q000473:pathology*; D003907:Dexamethasone / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D006801:Humans; D016849:Keratitis, Herpetic / Q000175:diagnosis; D008297:Male; D009355:Neomycin / Q000627:therapeutic use; D011113:Polymyxins / Q000627:therapeutic use
chemical_list: D011113:Polymyxins; D003907:Dexamethasone; D009355:Neomycin; D000212:Acyclovir