Descemet membrane detachment after sequential argon-neodymium:YAG laser peripheral iridotomy.
OBJECTIVE
To report a case of Descemet membrane detachment after sequential argon-neodymium (Nd):yttrium-aluminum-garnet (YAG) laser peripheral iridotomy.


METHODS
Interventional case report.


METHODS
A 72-year-old Chinese man presented with acute primary angle-closure in the left eye. In the fellow right eye, a localized Descemet membrane detachment developed after prophylactic sequential argon-Nd:YAG laser peripheral iridotomy. Ultrasound biomicroscopy pictures were taken.


RESULTS
The Descemet membrane detachment reattached gradually without intervention. The cornea remained clear and the vision was unchanged.


CONCLUSIONS
In sequential argon-Nd:YAG laser peripheral iridotomy, the shock wave formed during photodisruption may produce linear cracks at the level of Descemet membrane, resulting in detachment. This complication can occur irrespective of the color of the iris.
Liu
David T L
DT
Department of Ophthalmology Visual Sciences, Prince of Wales Hospital, Shatin, N.T., Hong Kong SAR, People's Republic of China.
Lai
Jimmy S M
JS
Lam
Dennis S C
DS
D000368:Aged; D001128:Argon; D003316:Corneal Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D003886:Descemet Membrane / Q000000981:diagnostic imaging; D006801:Humans; D007498:Iris / Q000601:surgery*; D053685:Laser Therapy / Q000009:adverse effects*; D008297:Male; D009354:Neodymium; D012075:Remission, Spontaneous; D014463:Ultrasonography; D015019:Yttrium
D009354:Neodymium; D015019:Yttrium; D001128:Argon